Graham, Carolyn

Graham, Carolyn is an individual health care provider with primary practice located at 1900 Akron Rd , Wooster OH 44691-2518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Graham, Carolyn can be contacted via phone (330) 264-4489.

Contact Information

Primary practice address
1900 Akron Rd Wooster OH 44691-2518
Phone: (330) 264-4489
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0316688 Ohio

Profile Details

NPI number 1548612682
LBN Legal business name Graham, Carolyn
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2016
Last updated Oct 28th, 2020 - 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 1548612682 NPPES
Ohio MEDICAID 0180416

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