Graber, Jonathan C

Graber, Jonathan C is an individual health care provider with primary practice located at 330 Lakeview Dr , Goshen IN 46528-9365. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Graber, Jonathan C can be contacted via phone (574) 533-1234.

Contact Information

Primary practice address
330 Lakeview Dr Goshen IN 46528-9365
Phone: (574) 533-1234
Fax: (574) 537-2652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71000256A Indiana
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 28113375A Indiana

Profile Details

NPI number 1770527285
LBN Legal business name Graber, Jonathan C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Nov 7th, 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 1770527285 NPPES
Indiana MEDICAID 200125900
Indiana Other 000000531843
Indiana Other P00090584

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