Graham, Scott David

Graham, Scott David is an individual health care provider with primary practice located at Eodmu 5 Unit 25499 2112 Sumay Cove Drive, Santa Rita GAUM 96915. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Graham, Scott David can be contacted via phone (671) 339-8171.

Contact Information

Primary practice address
Eodmu 5 Unit 25499 2112 Sumay Cove Drive Santa Rita GAUM 96915
Phone: (671) 339-8171
Fax: (671) 339-8179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1932312097
LBN Legal business name Graham, Scott David
Credentials HM IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 18 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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