Graham, Billy D

Graham, Billy D is an individual health care provider with primary practice located at 1 Medical Plaza Dr , Roseville CA 95661. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Graham, Billy D can be contacted via phone (916) 781-1002.

Contact Information

Primary practice address
1 Medical Plaza Dr Roseville CA 95661
Phone: (916) 781-1002
Fax: (916) 781-1003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA15123 California

Profile Details

NPI number 1750479374
LBN Legal business name Graham, Billy D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Sep 17th, 2019 - about 6 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 1750479374 NPPES
California MEDICAID 00PA15123

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