Gray, Trevor Karl
Gray, Trevor Karl is an individual health care provider with primary practice located at 1840 Harper , Beckley WV 25801-3366. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Gray, Trevor Karl can be contacted via phone (304) 255-0558.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2272 | West Virginia |
Profile Details
| NPI number | 1225199615 |
|---|---|
| LBN Legal business name | Gray, Trevor Karl |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1225199615 | NPPES |
| West Virginia | MEDICAID | 0135190000 |
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