Gray, Gerad

Gray, Gerad is an individual health care provider with primary practice located at 1613 N Mckenzie St , Foley AL 36535-2247. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gray, Gerad can be contacted via phone (251) 949-3710.

Contact Information

Primary practice address
1613 N Mckenzie St Foley AL 36535-2247
Fax: (251) 949-3715
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO.1573 Alabama

Profile Details

NPI number 1639598246
LBN Legal business name Gray, Gerad
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2014
Last updated Nov 13th, 2020 - about 6 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 1639598246 NPPES
Alabama MEDICAID 211102
Alabama MEDICAID 105644500
Alabama MEDICAID 05272328
Alabama MEDICAID 7100680860

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