Graham, Matthew John

Graham, Matthew John is an individual health care provider with primary practice located at 2741 Ne Mcbaine Dr , Lees Summit MO 64064-7880. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Graham, Matthew John can be contacted via phone (816) 554-2600.

Contact Information

Primary practice address
2741 Ne Mcbaine Dr Lees Summit MO 64064-7880
Phone: (816) 554-2600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 6551 Arizona

Profile Details

NPI number 1487066106
LBN Legal business name Graham, Matthew John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2014
Last updated Jul 28th, 2022 - about 3 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 1487066106 NPPES
Arizona MEDICAID 234246

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