Graham, Todd Lee

Graham, Todd Lee is an sole proprietor health care provider with primary practice located at 721 S George Nigh Expy , Mcalester OK 74501-7400. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Graham, Todd Lee can be contacted via phone (405) 208-1494.

Contact Information

Primary practice address
721 S George Nigh Expy Mcalester OK 74501-7400
Fax: (918) 302-0405
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1346524998
LBN Legal business name Graham, Todd Lee
Credentials BHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2011
Last updated Sep 30th, 2011 - about 13 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 1346524998 NPPES
Oklahoma MEDICAID 100746580A

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