Graham, Anthony
Graham, Anthony is an sole proprietor health care provider with primary practice located at 8101 Glen Hollow Dr Apt D , Glen Burnie MD 21061-6168. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Graham, Anthony can be contacted via phone (410) 768-1385.Contact Information
Primary practice address
8101 Glen Hollow Dr Apt D
Glen Burnie MD 21061-6168
Phone: (410) 768-1385
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | R091703 | Maryland |
Profile Details
NPI number | 1013913672 |
---|---|
LBN Legal business name | Graham, Anthony |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 28th, 2005 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013913672 | NPPES |
Maryland | Other | 454MI732 | TRAILBLAZER |
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