George Mcgraw, Jennifer Anne

George Mcgraw, Jennifer Anne is an individual health care provider with primary practice located at 519 Licking Pike , Wilder KY 41071-2941. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. George Mcgraw, Jennifer Anne can be contacted via phone (859) 572-0400.

Contact Information

Primary practice address
519 Licking Pike Wilder KY 41071-2941
Phone: (859) 572-0400
Fax: (859) 442-3363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X KY-0144 Kentucky

Profile Details

NPI number 1639292246
LBN Legal business name George Mcgraw, Jennifer Anne
Credentials MA ATR BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639292246 NPPES
Kentucky MEDICAID 64283328

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