Williams Gray, Akemie Edna

Williams Gray, Akemie Edna is an individual health care provider with primary practice located at 100 N 8Th St Ste 232 , East Saint Louis IL 62201-2989. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Williams Gray, Akemie Edna can be contacted via phone (618) 337-2597.

Contact Information

Primary practice address
100 N 8Th St Ste 232 East Saint Louis IL 62201-2989
Phone: (618) 337-2597
Fax: (618) 337-2930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60107061 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036131750 Illinois

Profile Details

NPI number 1972703056
LBN Legal business name Williams Gray, Akemie Edna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Mar 22nd, 2018 - about 8 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 1972703056 NPPES
Washington MEDICAID 8552374

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