Kori De Graf, Adriana A

Kori De Graf, Adriana A is an individual health care provider with primary practice located at 11109 Parkview Plaza Dr , Fort Wayne IN 46845-1701. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kori De Graf, Adriana A can be contacted via phone (260) 425-6780.

Contact Information

Primary practice address
11109 Parkview Plaza Dr Fort Wayne IN 46845-1701
Phone: (260) 425-6780
Fax: (260) 425-6615
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 45777 Wisconsin
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01077691A Indiana

Profile Details

NPI number 1962453704
LBN Legal business name Kori De Graf, Adriana A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 6th, 2021 - about 3 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 1962453704 NPPES
Other 000030377C HUMANA
MEDICAID 34393000 HUMANA

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