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NPI Code Detail

MEDICARE: GRAHAM CHIROPRACTIC

MEDICARE: GRAHAM CHIROPRACTIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1477733863
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRAHAM CHIROPRACTIC
Provider Business Mailing Address
First Line : 3012 SAINT JOSEPH RD
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-9537
Country : US
Telephone Number : 812-941-5400
Fax Number : 812-941-8485
Provider Business Practice Location Address
First Line : 3012 SAINT JOSEPH RD
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-9537
Country : US
Telephone Number : 812-941-5400
Fax Number : 812-941-8485
Authorized Official
Title or Position : OWNER
Name : DR. STEPHEN GRAHAM
Credential : D.C.
Telephone Number : 812-941-5400
Provider Enumeration Date : 11/14/2007
Last Update Date : 11/14/2007

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