Graham, Corey French

Graham, Corey French is an individual health care provider with primary practice located at 1000 Provident Dr Suite C, Warsaw IN 46580-3255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Graham, Corey French can be contacted via phone (574) 267-8728.

Contact Information

Primary practice address
1000 Provident Dr Suite C Warsaw IN 46580-3255
Fax: (574) 269-3470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01074316A Indiana

Profile Details

NPI number 1316109317
LBN Legal business name Graham, Corey French
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Dec 15th, 2021 - about 5 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 1316109317 NPPES
Indiana Other 262490014 MEDICARE PTAN
Indiana MEDICAID 201246970 MEDICARE PTAN

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