Graham, Gene S
Graham, Gene S is an individual health care provider with primary practice located at 1871 W William St , Delaware OH 43015-2255. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Graham, Gene S can be contacted via phone (740) 363-4373.Contact Information
Primary practice address
1871 W William St
Delaware OH 43015-2255
Phone: (740) 363-4373
Fax: (740) 363-9560
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1839 | Ohio |
Profile Details
| NPI number | 1881697902 |
|---|---|
| LBN Legal business name | Graham, Gene S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 10th, 2015 - about 9 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 | 1881697902 | NPPES |
| Ohio | MEDICAID | 0344274-1221 | |
| Ohio | Other | 31-1062667 |
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