Graham, William Noble

Graham, William Noble is an sole proprietor health care provider with primary practice located at 625 N Foster St Suite 203, Mitchell SD 57301-2969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Graham, William Noble can be contacted via phone (605) 996-8386.

Contact Information

Primary practice address
625 N Foster St Suite 203 Mitchell SD 57301-2969
Phone: (605) 996-8386
Fax: (605) 996-9153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 4248 South Dakota

Profile Details

NPI number 1558450254
LBN Legal business name Graham, William Noble
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated May 11th, 2009 - about 16 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 1558450254 NPPES
South Dakota Other 2070 AVERA HEALTH
South Dakota Other 0005047 AVERA HEALTH
South Dakota MEDICAID 6520252 AVERA HEALTH
South Dakota Other 20223 AVERA HEALTH

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