Graham, Timothy J

Graham, Timothy J is an individual health care provider with primary practice located at 12634 Olive Blvd Ste 122, Saint Louis MO 63141-6337. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Graham, Timothy J can be contacted via phone (314) 996-8378.

Contact Information

Primary practice address
12634 Olive Blvd Ste 122 Saint Louis MO 63141-6337
Phone: (314) 996-8378
Fax: (314) 996-8910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 074653 Missouri

Profile Details

NPI number 1699747766
LBN Legal business name Graham, Timothy J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 17th, 2009 - 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.

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