Graham, Jason C

Graham, Jason C is an individual health care provider with primary practice located at 2800 Clay Edwards Dr , North Kansas City MO 64116-3220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Graham, Jason C can be contacted via phone (816) 346-7220.

Contact Information

Primary practice address
2800 Clay Edwards Dr North Kansas City MO 64116-3220
Phone: (816) 346-7220
Fax: (816) 346-7242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 115758 Missouri

Profile Details

NPI number 1598759904
LBN Legal business name Graham, Jason C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Mar 26th, 2008 - about 16 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 1598759904 NPPES
Other P00093374 RR MEDICARE GROUP CD1534
Other 29223021 RR MEDICARE GROUP CD1534

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