Graff, Nathan Isaac

Graff, Nathan Isaac is an sole proprietor health care provider with primary practice located at 1891 W Ranch Rd , Nixa MO 65714-8262. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Graff, Nathan Isaac can be contacted via phone (417) 988-8397.

Contact Information

Primary practice address
1891 W Ranch Rd Nixa MO 65714-8262
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2022002047 Missouri

Profile Details

NPI number 1609195569
LBN Legal business name Graff, Nathan Isaac
Credentials NP-C, AT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2010
Last updated Aug 25th, 2023 - about last year

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 1609195569 NPPES
Missouri MEDICAID 420106177

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