Gray, Jacqueline J
Gray, Jacqueline J is an individual health care provider with primary practice located at 2300 Hospital Dr Ste 420 , Bossier City LA 71111-2166. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gray, Jacqueline J can be contacted via phone (318) 212-7880.Contact Information
Primary practice address
2300 Hospital Dr Ste 420
Bossier City LA 71111-2166
Phone: (318) 212-7880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35075835 | Ohio |
Profile Details
| NPI number | 1346354297 |
|---|---|
| LBN Legal business name | Gray, Jacqueline J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 15th, 2021 - about 5 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 | 1346354297 | NPPES |
| Ohio | MEDICAID | 2489258 |
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