Graham, Autumn C

Graham, Autumn C is an individual health care provider with primary practice located at 110 Irving St Nw , Washington DC 20010-2976. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Graham, Autumn C can be contacted via phone (202) 444-2116.

Contact Information

Primary practice address
110 Irving St Nw Washington DC 20010-2976
Phone: (202) 444-2116
Fax: (513) 557-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35085236 Ohio

Profile Details

NPI number 1578567012
LBN Legal business name Graham, Autumn C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 6th, 2008 - 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 1578567012 NPPES
District of Columbia Other J8790001 BLUE SHIELD
District of Columbia Other P00350406 BLUE SHIELD
District of Columbia Other 75859902 BLUE SHIELD

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