Graham, Victoria L

Graham, Victoria L is an individual health care provider with primary practice located at Wesleyan University 161 Cross Street, Middletown CT 06459-0001. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Graham, Victoria L can be contacted via phone (860) 685-3980.

Contact Information

Primary practice address
Wesleyan University 161 Cross Street Middletown CT 06459-0001
Phone: (860) 685-3980
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1740268515
LBN Legal business name Graham, Victoria L
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Apr 19th, 2011 - about 14 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 1740268515 NPPES
Other 000090279 BOC NUMBER
Other #000052 BOC NUMBER

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