Graham, Jessica Ann
Graham, Jessica Ann is an individual health care provider with primary practice located at 1002 S Dakota St Suite 101, Milbank SD 57252-2700. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Graham, Jessica Ann can be contacted via phone (605) 432-6676.Contact Information
Primary practice address
1002 S Dakota St Suite 101
Milbank SD 57252-2700
Phone: (605) 432-6676
Fax: (605) 432-6676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 984 | South Dakota |
Profile Details
| NPI number | 1588671143 |
|---|---|
| LBN Legal business name | Graham, Jessica Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1588671143 | NPPES |
| Minnesota | MEDICAID | 413330700 | |
| Minnesota | MEDICAID | 7601494 |
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