Graham, Thomas William
Graham, Thomas William is an individual health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Graham, Thomas William can be contacted via phone (616) 455-5000.Contact Information
Primary practice address
300 68Th St Se
Grand Rapids MI 49548-6927
Phone: (616) 455-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301010627 | Michigan |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801013765 | Michigan |
Profile Details
NPI number | 1295771640 |
---|---|
LBN Legal business name | Graham, Thomas William |
Credentials | MA, LLP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Nov 8th, 2010 - about 15 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 | 1295771640 | NPPES |
Michigan | Other | P108965270 | BC/BS |
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