Graham, John Edward

Graham, John Edward is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Emergency Med, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Graham, John Edward can be contacted via phone (314) 454-2341.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Emergency Med Saint Louis MO 63110-1002
Phone: (314) 454-2341
Fax: (314) 454-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2016027209 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2016027209 Missouri

Profile Details

NPI number 1568704930
LBN Legal business name Graham, John Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2013
Last updated Apr 10th, 2024 - about last year

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 1568704930 NPPES
Missouri MEDICAID 200034313

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