Graham, Ethan
Graham, Ethan is an individual health care provider with primary practice located at Landstuhl Regional Medical Center Unit 33100, Apo AE 09180-3100. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Graham, Ethan can be contacted via phone (253) 968-0117.Contact Information
Primary practice address
Landstuhl Regional Medical Center Unit 33100
Apo AE 09180-3100
Phone: (253) 968-0117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 34041 | Nebraska |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34041 | Nebraska |
Profile Details
| NPI number | 1962036202 |
|---|---|
| LBN Legal business name | Graham, Ethan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2020 |
| Last updated | Aug 17th, 2024 - about 2 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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