Graham, Alison Nicole

Graham, Alison Nicole is an individual health care provider with primary practice located at 3003 Health Center Dr , San Diego CA 92123-2700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Graham, Alison Nicole can be contacted via phone (858) 939-4198.

Contact Information

Primary practice address
3003 Health Center Dr San Diego CA 92123-2700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20A7418 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 20A7418 California

Profile Details

NPI number 1346311107
LBN Legal business name Graham, Alison Nicole
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Dec 11th, 2013 - about 11 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 1346311107 NPPES
California MEDICAID 00AX74180

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