Graham, Evan Michael

Graham, Evan Michael is an individual health care provider with primary practice located at 840 E Hill Ave , Moses Lake WA 98837-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Graham, Evan Michael can be contacted via phone (509) 765-0216.

Contact Information

Primary practice address
840 E Hill Ave Moses Lake WA 98837-2238
Phone: (509) 765-0216
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD00021439 Washington

Profile Details

NPI number 1336174663
LBN Legal business name Graham, Evan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 2nd, 2013 - about 12 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 1336174663 NPPES
Washington Other 30749 L&I
Washington MEDICAID 8626806 L&I

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