Graham, Elizabeth Jean
Graham, Elizabeth Jean is an individual health care provider with primary practice located at 3011 N Michigan St , Pittsburg KS 66762-2546. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Graham, Elizabeth Jean can be contacted via phone (620) 231-1960.Contact Information
Primary practice address
3011 N Michigan St
Pittsburg KS 66762-2546
Phone: (620) 231-1960
Fax: (620) 231-2808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 202006374NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5375433011 | Kansas |
Profile Details
| NPI number | 1992085310 |
|---|---|
| LBN Legal business name | Graham, Elizabeth Jean |
| Credentials | APRN-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2011 |
| Last updated | Feb 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992085310 | NPPES |
| Kansas | Other | 068002207 | MEDICARE PTAN |
| Kansas | MEDICAID | 200875510C | MEDICARE PTAN |
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