Graham, Calvin

Graham, Calvin is an individual health care provider with primary practice located at 311-4E Judges Rd , Wilmington NC 28405-3655. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Graham, Calvin can be contacted via phone (910) 791-6767.

Contact Information

Primary practice address
311-4E Judges Rd Wilmington NC 28405-3655
Phone: (910) 791-6767
Fax: (910) 791-6890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2464 North Carolina

Profile Details

NPI number 1346239399
LBN Legal business name Graham, Calvin
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Sep 27th, 2011 - about 13 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 1346239399 NPPES
North Carolina Other 047TU BCBSNC
North Carolina MEDICAID 6001099 BCBSNC

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