Graham, David B

Graham, David B is an sole proprietor health care provider with primary practice located at 87 Thomas Johnson Dr Suite 101, Frederick MD 21702-4301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Graham, David B can be contacted via phone (301) 694-0606.

Contact Information

Primary practice address
87 Thomas Johnson Dr Suite 101 Frederick MD 21702-4301
Phone: (301) 694-0606
Fax: (301) 662-6928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0017504 Maryland

Profile Details

NPI number 1376520544
LBN Legal business name Graham, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Apr 24th, 2008 - about 17 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 1376520544 NPPES
Mh MEDICAID 780001100

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