Graham, Leslie Eileen

Graham, Leslie Eileen is an sole proprietor health care provider with primary practice located at 347 Andrieux St , Sonoma CA 95476-6811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Graham, Leslie Eileen can be contacted via phone (707) 935-5100.

Contact Information

Primary practice address
347 Andrieux St Sonoma CA 95476-6811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G76651 California

Profile Details

NPI number 1841463346
LBN Legal business name Graham, Leslie Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2008
Last updated Jul 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841463346 NPPES
California MEDICAID 00G766510

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