Graham, Clarissa
Graham, Clarissa is an sole proprietor health care provider with primary practice located at 8106 Flintwood Ct , North Charleston SC 29406-9435. She recently has only one registered license in Other Service Providers / Home Modifications, which is considered as her primary health care specialty. Graham, Clarissa can be contacted via phone (843) 593-1048.Contact Information
Primary practice address
8106 Flintwood Ct
North Charleston SC 29406-9435
Phone: (843) 593-1048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | RBS60998 | South Carolina |
Profile Details
| NPI number | 1902366701 |
|---|---|
| LBN Legal business name | Graham, Clarissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2019 |
| Last updated | Mar 20th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902366701 | NPPES |
| South Carolina | MEDICAID | 2019 |
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