Gray, Jerry Mcnicoll
Gray, Jerry Mcnicoll is an sole proprietor health care provider with primary practice located at 145 Columbia Ave , Holland MI 49423-2987. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Gray, Jerry Mcnicoll can be contacted via phone (734) 255-3884.Contact Information
Primary practice address
145 Columbia Ave
Holland MI 49423-2987
Phone: (734) 255-3884
Fax: (734) 971-7079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207ZH0000X | 4301023740 | Michigan |
Profile Details
| NPI number | 1477761195 |
|---|---|
| LBN Legal business name | Gray, Jerry Mcnicoll |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | Aug 23rd, 2019 - about 7 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 | 1477761195 | NPPES |
| Michigan | Other | 4301023740 | PHYSICIAN LICENSE |
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