Graham, John E

Graham, John E is an individual health care provider with primary practice located at 5400 Gibson Blvd Se , Albuquerque NM 87108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Graham, John E can be contacted via phone (505) 262-3937.

Contact Information

Primary practice address
5400 Gibson Blvd Se Albuquerque NM 87108
Fax: (505) 262-7147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9261 New Mexico

Profile Details

NPI number 1104851187
LBN Legal business name Graham, John E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 9th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104851187 NPPES
New Mexico MEDICAID E4251

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