Graham, Adam W

Graham, Adam W is an individual health care provider with primary practice located at 12499 Claimstake Ct , Lolo MT 59847-9435. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Graham, Adam W can be contacted via phone (406) 493-8269.

Contact Information

Primary practice address
12499 Claimstake Ct Lolo MT 59847-9435
Phone: (406) 493-8269
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5703835-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5703835-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MT 503 Montana

Profile Details

NPI number 1811947344
LBN Legal business name Graham, Adam W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Aug 19th, 2010 - 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 1811947344 NPPES
Other 80105 PEHP #
Other 224848 PEHP #
Other 13228 PEHP #
MEDICAID 807004900 PEHP #
MEDICAID 100505177 PEHP #

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