Grayson, Corey Lamar
Grayson, Corey Lamar is an individual health care provider with primary practice located at 2101 Courage Dr , Fairfield CA 94533-6717. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Nursing Service Related Providers / Adult Companion, Behavioral Health & Social Service Providers / Counselor. Nursing Service Related Providers / Adult Companion is his primary health care specialty. Grayson, Corey Lamar can be contacted via phone (707) 784-8138.Contact Information
Primary practice address
2101 Courage Dr
Fairfield CA 94533-6717
Phone: (707) 784-8138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1578826087 |
|---|---|
| LBN Legal business name | Grayson, Corey Lamar |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2012 |
| Last updated | May 29th, 2025 - about last year |
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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