Graham, Susan R

Graham, Susan R is an individual health care provider with primary practice located at Highway 191 Hospital Drive , Chinle AZ 86503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Graham, Susan R can be contacted via phone (518) 944-9660.

Contact Information

Primary practice address
Highway 191 Hospital Drive Chinle AZ 86503
Phone: (518) 944-9660
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000570 New York

Profile Details

NPI number 1043263296
LBN Legal business name Graham, Susan R
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jan 31st, 2014 - about 11 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 1043263296 NPPES
New York MEDICAID 01780198

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