Graham, Eric Sean
Graham, Eric Sean is an sole proprietor health care provider with primary practice located at 2703 17Th St Apt D , Marion IL 62959-4912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Graham, Eric Sean can be contacted via phone (618) 998-9200.Contact Information
Primary practice address
2703 17Th St Apt D
Marion IL 62959-4912
Phone: (618) 998-9200
Fax: (618) 998-9700
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036127171 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24447 | Oklahoma |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036.121717 | Illinois |
Profile Details
NPI number | 1720120462 |
---|---|
LBN Legal business name | Graham, Eric Sean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 12th, 2007 |
Last updated | Jun 1st, 2021 - about 4 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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