Graham, Mary Ann

Graham, Mary Ann is an individual health care provider with primary practice located at 630 Plantation Street , Worcester MA 01605. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Graham, Mary Ann can be contacted via phone (508) 852-6175.

Contact Information

Primary practice address
630 Plantation Street Worcester MA 01605
Phone: (508) 852-6175
Fax: (508) 595-2941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 216 Massachusetts
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 216 Massachusetts

Profile Details

NPI number 1942318571
LBN Legal business name Graham, Mary Ann
Credentials MSRD LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Feb 4th, 2009 - about 16 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 1942318571 NPPES
Other 042472266 PRIVATE HEALTHCARE SYSTEM
Other 042472266 PRIVATE HEALTHCARE SYSTEM
Other LD0142 PRIVATE HEALTHCARE SYSTEM
Other 67850 PRIVATE HEALTHCARE SYSTEM
Other 7856570 PRIVATE HEALTHCARE SYSTEM
Other MT0708 PRIVATE HEALTHCARE SYSTEM
Other AA16843 PRIVATE HEALTHCARE SYSTEM

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