Graham, Douglas E
Graham, Douglas E is an individual health care provider with primary practice located at 1778 Ala Moana Blvd Ul-5, Honolulu HI 96815-1605. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Graham, Douglas E can be contacted via phone (808) 955-5553.Contact Information
Primary practice address
1778 Ala Moana Blvd Ul-5
Honolulu HI 96815-1605
Phone: (808) 955-5553
Fax: (808) 955-5575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | AMD-181 | Hawaii |
Profile Details
| NPI number | 1326092073 |
|---|---|
| LBN Legal business name | Graham, Douglas E |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 19th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326092073 | NPPES |
| Hawaii | Other | 0000242867 | BC/BS OF HAWAII |
| Hawaii | MEDICAID | 05715502 | BC/BS OF HAWAII |
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