Graham, Christina Louise

Graham, Christina Louise is an individual health care provider with primary practice located at 1633 N Capitol Ave Suite 500, Indianapolis IN 46202-1261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Graham, Christina Louise can be contacted via phone (317) 962-5014.

Contact Information

Primary practice address
1633 N Capitol Ave Suite 500 Indianapolis IN 46202-1261
Phone: (317) 962-5014
Fax: (317) 962-2427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 28173876 Indiana

Profile Details

NPI number 1063605301
LBN Legal business name Graham, Christina Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Sep 8th, 2011 - about 14 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 1063605301 NPPES
Indiana MEDICAID 200870430
Indiana Other 28173876

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