Graham, Cleo D
Graham, Cleo D is an sole proprietor health care provider with primary practice located at 111 Howland Ave , East Providence RI 02914-3054. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Graham, Cleo D can be contacted via phone (401) 438-6609.Contact Information
Primary practice address
111 Howland Ave
East Providence RI 02914-3054
Phone: (401) 438-6609
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Diabetes Educator | 163WD0400X | NPP23079 | Rhode Island |
Nursing Service Providers / Diabetes Educator | 163WD0400X | RN23079 | Rhode Island |
Profile Details
NPI number | 1003947086 |
---|---|
LBN Legal business name | Graham, Cleo D |
Credentials | Registered Nurse Practitioner (RNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1003947086 | NPPES |
Rhode Island | Other | 22916-4 | BLUE CROSS BLUE SHIELD |
Rhode Island | Other | 410545 | BLUE CROSS BLUE SHIELD |
Rhode Island | Other | 28451 | BLUE CROSS BLUE SHIELD |
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