Graham, Benjamin Matthew
Graham, Benjamin Matthew is an individual health care provider with primary practice located at 5715 Memorial Ave N , Oak Park Heights MN 55082-1093. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Graham, Benjamin Matthew can be contacted via phone (651) 439-8807.Contact Information
Primary practice address
5715 Memorial Ave N
Oak Park Heights MN 55082-1093
Phone: (651) 439-8807
Fax: (651) 439-0232
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 13701 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5590-23 | Wisconsin |
Profile Details
NPI number | 1932877404 |
---|---|
LBN Legal business name | Graham, Benjamin Matthew |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2021 |
Last updated | Dec 13th, 2022 - about 3 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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