Graham, Jeannine
Graham, Jeannine is an sole proprietor health care provider with primary practice located at 10205 Lily Green Ct , Upper Marlboro MD 20772-6665. She recently has only one registered license in Transportation Services / Transportation Broker, which is considered as her primary health care specialty. Graham, Jeannine can be contacted via phone (240) 441-5851.Contact Information
Primary practice address
10205 Lily Green Ct
Upper Marlboro MD 20772-6665
Phone: (240) 441-5851
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Transportation Broker | 347E00000X | Maryland |
Profile Details
| NPI number | 1124668421 |
|---|---|
| LBN Legal business name | Graham, Jeannine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2020 |
| Last updated | Jan 14th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124668421 | NPPES |
| Other | NA | NO OTHER PROVIDER IDENTIFIERS AT THIS TIME |
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