Graham, Douglas E

Graham, Douglas E is an individual health care provider with primary practice located at 1778 Ala Moana Blvd Ul-5, Honolulu HI 96815-1605. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Graham, Douglas E can be contacted via phone (808) 955-5553.

Contact Information

Primary practice address
1778 Ala Moana Blvd Ul-5 Honolulu HI 96815-1605
Phone: (808) 955-5553
Fax: (808) 955-5575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X AMD-181 Hawaii

Profile Details

NPI number 1326092073
LBN Legal business name Graham, Douglas E
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 9th, 2007 - about 17 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 1326092073 NPPES
Hawaii Other 0000242867 BC/BS OF HAWAII
Hawaii MEDICAID 05715502 BC/BS OF HAWAII

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