Graham, Polly Rae

Graham, Polly Rae is an individual health care provider with primary practice located at 1227 E Rusholme St , Davenport IA 52803-2459. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Graham, Polly Rae can be contacted via phone (563) 421-6943.

Contact Information

Primary practice address
1227 E Rusholme St Davenport IA 52803-2459
Phone: (563) 421-6943
Fax: (563) 421-6959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 00732 Iowa

Profile Details

NPI number 1760698674
LBN Legal business name Graham, Polly Rae
Credentials MBA, RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
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.

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