Graham, Susan R
Graham, Susan R is an individual health care provider with primary practice located at Highway 191 Hospital Drive , Chinle AZ 86503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Graham, Susan R can be contacted via phone (518) 944-9660.Contact Information
Primary practice address
Highway 191 Hospital Drive
Chinle AZ 86503
Phone: (518) 944-9660
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 000570 | New York |
Profile Details
| NPI number | 1043263296 |
|---|---|
| LBN Legal business name | Graham, Susan R |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jan 31st, 2014 - about 12 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 | 1043263296 | NPPES |
| New York | MEDICAID | 01780198 |
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