Graham, Jeanine L.
Graham, Jeanine L. is an individual health care provider with primary practice located at 6777 W Maple Rd , West Bloomfield MI 48322-3013. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Graham, Jeanine L. can be contacted via phone (248) 661-6488.Contact Information
Primary practice address
6777 W Maple Rd
West Bloomfield MI 48322-3013
Phone: (248) 661-6488
Fax: (248) 661-6489
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 5302021043 | Michigan |
Profile Details
NPI number | 1083797930 |
---|---|
LBN Legal business name | Graham, Jeanine L. |
Credentials | R.PH. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1083797930 | NPPES |
Michigan | Other | 5302021043 | PERMANENT ID NUMBER |
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