Gray, William R

Gray, William R is an individual health care provider with primary practice located at 125 N Main St , Cheboygan MI 49721-1637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gray, William R can be contacted via phone (231) 627-3800.

Contact Information

Primary practice address
125 N Main St Cheboygan MI 49721-1637
Phone: (231) 627-3800
Fax: (231) 627-2482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X WG008271 Michigan

Profile Details

NPI number 1831200369
LBN Legal business name Gray, William R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 5th, 2010 - about 16 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 1831200369 NPPES
Michigan MEDICAID 3055165
Michigan Other 0751600054
Michigan Other 5160005

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