Gray, David Charles
Gray, David Charles is an individual health care provider with primary practice located at 3031 S Russell St Suite 3, Missoula MT 59801-8523. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gray, David Charles can be contacted via phone (405) 549-4067.Contact Information
Primary practice address
3031 S Russell St Suite 3
Missoula MT 59801-8523
Phone: (405) 549-4067
Fax: (406) 327-6706
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 309 | Montana |
Profile Details
| NPI number | 1265587596 |
|---|---|
| LBN Legal business name | Gray, David Charles |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Sep 30th, 2011 - about 15 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 | 1265587596 | NPPES |
| Montana | Other | 04-00092-3 | WORKERS COMP |
| Montana | Other | 40240 | WORKERS COMP |
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