Gray, Michael

Gray, Michael is an individual health care provider with primary practice located at 625 Lincoln Ave , San Jose CA 95126-3785. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Gray, Michael can be contacted via phone (408) 871-5260.

Contact Information

Primary practice address
625 Lincoln Ave San Jose CA 95126-3785
Phone: (408) 871-5260
Fax: (408) 871-3237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA11821 California

Profile Details

NPI number 1659481869
LBN Legal business name Gray, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 30th, 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 1659481869 NPPES
California MEDICAID 0PA118210

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