Graham, Richard W
Graham, Richard W is an individual health care provider with primary practice located at 108 N Main St , White River Junction VT 05001-7056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Graham, Richard W can be contacted via phone (802) 296-7370.Contact Information
Primary practice address
108 N Main St
White River Junction VT 05001-7056
Phone: (802) 296-7370
Fax: (802) 296-7174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 0101 033452 | Virginia |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 042-0012170 | Vermont |
Profile Details
| NPI number | 1225092794 |
|---|---|
| LBN Legal business name | Graham, Richard W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Sep 12th, 2011 - about 14 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 | 1225092794 | NPPES |
| Virginia | MEDICAID | 1225092794 | |
| Virginia | Other | 24388 | |
| Virginia | MEDICAID | 32000393 | |
| Virginia | Other | 59294 | |
| Virginia | Other | 2582 | |
| Virginia | Other | 340001591 | |
| Virginia | Other | 447989 | |
| Virginia | Other | 45722 | |
| Virginia | Other | 1900011 | |
| Virginia | Other | 36538 | |
| Virginia | Other | 3762531 | |
| Virginia | Other | 4063408 | |
| Virginia | Other | 497602109 | |
| Virginia | Other | 247815 | |
| Virginia | Other | 3016615 | |
| Virginia | Other | 002130301 | |
| Virginia | Other | 1478176 | |
| Virginia | MEDICAID | 1018994 | |
| Virginia | Other | 642070000-00 | |
| Virginia | Other | 66241 |
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