Graham, John Maitland
Graham, John Maitland is an sole proprietor health care provider with primary practice located at 320 Lincoln Way E , Osceola IN 46561-2767. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Graham, John Maitland can be contacted via phone (574) 674-6700.Contact Information
Primary practice address
320 Lincoln Way E
Osceola IN 46561-2767
Phone: (574) 674-6700
Fax: (574) 674-7171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 02001454A | Indiana |
Profile Details
| NPI number | 1780680363 |
|---|---|
| LBN Legal business name | Graham, John Maitland |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Oct 20th, 2008 - 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 | 1780680363 | NPPES |
| Indiana | Other | 000000093107 | ANTHEM |
| Indiana | Other | RR MEDICARE | ANTHEM |
| Indiana | MEDICAID | 200187380B | ANTHEM |
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