Graham, Shawn Edward

Graham, Shawn Edward is an individual health care provider with primary practice located at 31 Market St , Fort Kent ME 04743-1418. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Graham, Shawn Edward can be contacted via phone (207) 834-5430.

Contact Information

Primary practice address
31 Market St Fort Kent ME 04743-1418
Phone: (207) 834-5430
Fax: (207) 834-2332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC5036 Maine
Behavioral Health & Social Service Providers / Professional 101YP2500X CC5145 Maine

Profile Details

NPI number 1154665578
LBN Legal business name Graham, Shawn Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2012
Last updated Oct 3rd, 2019 - about 6 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 1154665578 NPPES
Maine MEDICAID 1740476159

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