Graham, Susan Diane

Graham, Susan Diane is an individual health care provider with primary practice located at 1010 Three Springs Blvd , Durango CO 81301-8296. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Graham, Susan Diane can be contacted via phone (303) 306-7783.

Contact Information

Primary practice address
1010 Three Springs Blvd Durango CO 81301-8296
Phone: (303) 306-7783
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 35621 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35621 Colorado

Profile Details

NPI number 1730193756
LBN Legal business name Graham, Susan Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 24th, 2014 - about 10 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 1730193756 NPPES
Colorado Other P00315470 RAILROAD MEDICARE PIN
Colorado MEDICAID 01356211 RAILROAD MEDICARE PIN
Colorado MEDICAID 000L3404 RAILROAD MEDICARE PIN

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