Graham, Susan Joy
Graham, Susan Joy is an individual health care provider with primary practice located at 815 Northwest St Building B, Second Floor, Bellevue OH 44811-1074. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Graham, Susan Joy can be contacted via phone (419) 483-4040.Contact Information
Primary practice address
815 Northwest St Building B, Second Floor
Bellevue OH 44811-1074
Phone: (419) 483-4040
Fax: (419) 483-2192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-067246 | Ohio |
Profile Details
| NPI number | 1427274976 |
|---|---|
| LBN Legal business name | Graham, Susan Joy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427274976 | NPPES |
| Ohio | MEDICAID | 0110687 |
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