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
Fax: (605) 432-6676
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588671143 NPPES
Minnesota MEDICAID 413330700
Minnesota MEDICAID 7601494

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