Graham, John E
Graham, John E is an individual health care provider with primary practice located at 5400 Gibson Blvd Se , Albuquerque NM 87108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Graham, John E can be contacted via phone (505) 262-3937.Contact Information
Primary practice address
5400 Gibson Blvd Se
Albuquerque NM 87108
Phone: (505) 262-3937
Fax: (505) 262-7147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 9261 | New Mexico |
Profile Details
| NPI number | 1104851187 |
|---|---|
| LBN Legal business name | Graham, John E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 9th, 2011 - about 15 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 | 1104851187 | NPPES |
| New Mexico | MEDICAID | E4251 |
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