Graham, Linda
Graham, Linda is an sole proprietor health care provider with primary practice located at 2415 N 124Th Cir , Avondale AZ 85323-6509. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Graham, Linda can be contacted via phone (602) 841-3438.Contact Information
Primary practice address
2415 N 124Th Cir
Avondale AZ 85323-6509
Phone: (602) 841-3438
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 10017 | Arizona |
Profile Details
| NPI number | 1639247463 |
|---|---|
| LBN Legal business name | Graham, Linda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1639247463 | NPPES |
| Arizona | Other | 112550 | AHCCCS ID |
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