Graham, Brett A

Graham, Brett A is an individual health care provider with primary practice located at 1411 S Green St Suite 130, Brownsburg IN 46112-2049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Graham, Brett A can be contacted via phone (317) 858-4610.

Contact Information

Primary practice address
1411 S Green St Suite 130 Brownsburg IN 46112-2049
Phone: (317) 858-4610
Fax: (317) 858-4620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01040479A Indiana

Profile Details

NPI number 1376538900
LBN Legal business name Graham, Brett A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 5th, 2021 - about 4 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 1376538900 NPPES
Indiana MEDICAID 100334680B

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