Graham, Wayne R

Graham, Wayne R is an individual health care provider with primary practice located at 1473 S Highway 40 Suite E, Heber City UT 84032-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Graham, Wayne R can be contacted via phone (435) 657-4400.

Contact Information

Primary practice address
1473 S Highway 40 Suite E Heber City UT 84032-3522
Fax: (435) 657-4460
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 59602551204 Utah

Profile Details

NPI number 1699781054
LBN Legal business name Graham, Wayne R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Feb 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699781054 NPPES
Utah Other 59602551204 STATE LICENSE NO

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