Graham, Walter Maitland
Graham, Walter Maitland is an sole proprietor health care provider with primary practice located at 32 S 150 E , Burley ID 83318-5450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Graham, Walter Maitland can be contacted via phone (208) 677-3034.Contact Information
Primary practice address
32 S 150 E
Burley ID 83318-5450
Phone: (208) 677-3034
Fax: (208) 677-2483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M5964 | Idaho |
Profile Details
| NPI number | 1821031758 |
|---|---|
| LBN Legal business name | Graham, Walter Maitland |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Feb 26th, 2024 - about 2 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 | 1821031758 | NPPES |
| Idaho | MEDICAID | P318303 | |
| Idaho | Other | 5964-2 | |
| Idaho | Other | 000010002084 |
Popular Providers
-
Wells, Wendell Lee
1501 Hiland Ave Suite L-1, Burley ID 83318-2682 -
Blauer, Wayne H
1501 Hiland Ave , Burley ID 83318-2688 -
Boehmer, Steven
1335 Albion Ave , Burley ID 83318-1817 -
Ontiveros, David
1501 Hiland Ave , Burley ID 83318-2682 -
Romney, Benjamin Joseph
1309 Bennett Ave , Burley ID 83318-2676 -
Klett, Michael P
1252 Bennett Ave. Ste B, Burley ID 83318-2664 -
North, Stewart Raymond
1501 Hiland Ave , Burley ID 83318-2688 -
Boehmer, Bernard R
1335 Albion Ave , Burley ID 83318-1817