Gray, Roger Sloan
Gray, Roger Sloan is an individual health care provider with primary practice located at 2820 S Wisconsin Ave , Rice Lake WI 54868-8573. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gray, Roger Sloan can be contacted via phone (745) 234-8444.Contact Information
Primary practice address
2820 S Wisconsin Ave
Rice Lake WI 54868-8573
Phone: (745) 234-8444
Fax: (715) 234-0041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 30897020 | Wisconsin |
Profile Details
| NPI number | 1154323608 |
|---|---|
| LBN Legal business name | Gray, Roger Sloan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Mar 22nd, 2022 - about 4 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 | 1154323608 | NPPES |
| Wisconsin | MEDICAID | 31602400 |
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