Graham, Elizabeth Jean

Graham, Elizabeth Jean is an individual health care provider with primary practice located at 3011 N Michigan St , Pittsburg KS 66762-2546. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Graham, Elizabeth Jean can be contacted via phone (620) 231-1960.

Contact Information

Primary practice address
3011 N Michigan St Pittsburg KS 66762-2546
Phone: (620) 231-1960
Fax: (620) 231-2808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 202006374NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5375433011 Kansas

Profile Details

NPI number 1992085310
LBN Legal business name Graham, Elizabeth Jean
Credentials APRN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2011
Last updated Feb 18th, 2021 - about 3 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 1992085310 NPPES
Kansas Other 068002207 MEDICARE PTAN
Kansas MEDICAID 200875510C MEDICARE PTAN

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