Graham, John David
Graham, John David is an individual health care provider with primary practice located at 2821 N Ballas Rd Ste C-11, Saint Louis MO 63131-2321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Graham, John David can be contacted via phone (314) 872-5601.Contact Information
Primary practice address
2821 N Ballas Rd Ste C-11
Saint Louis MO 63131-2321
Phone: (314) 872-5601
Fax: (314) 872-5628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 109904 | Missouri |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036092540 | Illinois |
Profile Details
| NPI number | 1437269081 |
|---|---|
| LBN Legal business name | Graham, John David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Apr 9th, 2010 - about 14 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 | 1437269081 | NPPES |
| Missouri | Other | 114762 | BCBS |
| Missouri | Other | 30087 | BCBS |
| Missouri | Other | 2000288 | BCBS |
| Missouri | Other | 050065227 | BCBS |
| Missouri | Other | 115491 | BCBS |
| Missouri | Other | 28931 | BCBS |
| Missouri | Other | 28931 | BCBS |
| Missouri | Other | 322628 | BCBS |
| Missouri | Other | 0004669135 | BCBS |
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