Graham, Bruce M

Graham, Bruce M is an individual health care provider with primary practice located at 2525 W University Ave Suite 300, Muncie IN 47303-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Graham, Bruce M can be contacted via phone (765) 281-2000.

Contact Information

Primary practice address
2525 W University Ave Suite 300 Muncie IN 47303-3400
Phone: (765) 281-2000
Fax: (765) 281-2062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01039362A Indiana

Profile Details

NPI number 1598734659
LBN Legal business name Graham, Bruce M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 7th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598734659 NPPES
Indiana Other P00413052 MEDICARE RROAD
Indiana MEDICAID 100107270B MEDICARE RROAD
Indiana Other 060033596 MEDICARE RROAD

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