Graham, Martin Laren
Graham, Martin Laren is an individual health care provider with primary practice located at 222 15Th Ave Se , Puyallup WA 98372-3754. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Graham, Martin Laren can be contacted via phone (253) 841-4353.Contact Information
Primary practice address
222 15Th Ave Se
Puyallup WA 98372-3754
Phone: (253) 841-4353
Fax: (253) 581-5698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 4301030616 | Michigan |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00012303 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A24039 | California |
Profile Details
| NPI number | 1538123674 |
|---|---|
| LBN Legal business name | Graham, Martin Laren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 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 | 1538123674 | NPPES |
| Washington | MEDICAID | 8194904 | |
| Washington | Other | 74116 |
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