Graham, Bryan Burk

Graham, Bryan Burk is an sole proprietor health care provider with primary practice located at 34 Long Pond Rd , Plymouth MA 02360-2606. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Graham, Bryan Burk can be contacted via phone (508) 747-1434.

Contact Information

Primary practice address
34 Long Pond Rd Plymouth MA 02360-2606
Phone: (508) 747-1434
Fax: (508) 747-0772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2158 Massachusetts

Profile Details

NPI number 1083708937
LBN Legal business name Graham, Bryan Burk
Credentials D.C., C.C.S.P
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jun 4th, 2008 - about 16 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 1083708937 NPPES
Massachusetts MEDICAID 1608550
Massachusetts Other 28387
Massachusetts Other 3303802
Massachusetts Other 352411
Massachusetts Other Y36728
Massachusetts Other 4401065
Massachusetts Other 698922
Massachusetts Other 470633

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