Gray, Jayla Beth
Gray, Jayla Beth is an individual health care provider with primary practice located at 102 Valley Rd , Middletown RI 02842-5237. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Gray, Jayla Beth can be contacted via phone (401) 239-1800.Contact Information
Primary practice address
102 Valley Rd
Middletown RI 02842-5237
Phone: (401) 239-1800
Fax: (401) 239-1801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | A169832 | California |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 18723 | Nevada |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD18505 | Rhode Island |
Profile Details
| NPI number | 1053706911 |
|---|---|
| LBN Legal business name | Gray, Jayla Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2015 |
| Last updated | Aug 8th, 2022 - about 3 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 | 1053706911 | NPPES |
| Rhode Island | Other | MD18505 | STATE MEDICAL LICENSE |
| Rhode Island | Other | 14418106 | STATE MEDICAL LICENSE |
| Rhode Island | Other | A169832 | STATE MEDICAL LICENSE |
| Rhode Island | Other | 18723 | STATE MEDICAL LICENSE |
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