Gray Derm Llc

LBN: Gray Derm Pllc
Gray Derm Llc is an health care organization with primary practice located at 525 N Eastown Rd Ste A , Lima OH 45807-2268. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Gray Derm Pllc can be contacted via phone (419) 998-8297, or through Gray, Bryan via phone (614) 596-6789.

Contact Information

Primary practice address
525 N Eastown Rd Ste A Lima OH 45807-2268
Phone: (419) 998-8297
Fax: (419) 226-8309
Website:
Map and Directions
Authorized official contact:
Name: Gray, Bryan Doctor of Osteopathy (DO)
Phone: (614) 596-6789

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1104392679
LBN Legal business name Gray Derm Pllc
DBA Doing business as Gray Derm Llc
Authorized official Gray, Bryan Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2018
Last updated Jan 12th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104392679 NPPES
Ohio Other 34.013501 OH LICENSE
Ohio Other 5101021720 OH LICENSE

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