Grayson, Thomas M

Grayson, Thomas M is an individual health care provider with primary practice located at 1050 Reid Pkwy Suite 120, Richmond IN 47374-1155. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grayson, Thomas M can be contacted via phone (765) 962-6053.

Contact Information

Primary practice address
1050 Reid Pkwy Suite 120 Richmond IN 47374-1155
Phone: (765) 962-6053
Fax: (765) 935-7401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01048195 Indiana

Profile Details

NPI number 1912902289
LBN Legal business name Grayson, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated May 14th, 2021 - about 5 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 1912902289 NPPES
Other 000000707433 ANTHEM
MEDICAID 200180430 ANTHEM
MEDICAID 2105117 ANTHEM

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