Gray, Bryan Joseph
Gray, Bryan Joseph is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Hospice, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Gray, Bryan Joseph can be contacted via phone (573) 635-5264.Contact Information
Primary practice address
1241 W Stadium Blvd
Jefferson City MO 65109-6023
Phone: (573) 635-5264
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Hospice | 163WH1000X | 2015024072 | Missouri |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 2015024072 | Missouri |
Profile Details
| NPI number | 1518698067 |
|---|---|
| LBN Legal business name | Gray, Bryan Joseph |
| Credentials | BSN, RN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2022 |
| Last updated | Jan 2nd, 2025 - about last year |
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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