Graham, Loretta Prosser

Graham, Loretta Prosser is an individual health care provider with primary practice located at 15410 Warwick Blvd , Newport News VA 23608-1576. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Graham, Loretta Prosser can be contacted via phone (757) 886-9169.

Contact Information

Primary practice address
15410 Warwick Blvd Newport News VA 23608-1576
Phone: (757) 886-9169
Fax: (757) 874-8892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401006225 Virginia

Profile Details

NPI number 1548289283
LBN Legal business name Graham, Loretta Prosser
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 18 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 1548289283 NPPES
Virginia Other 320574 ANTHEM BC/BS
Virginia Other 543768 ANTHEM BC/BS
Virginia Other 9178694 ANTHEM BC/BS

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