Wray, Stephen
Wray, Stephen is an sole proprietor health care provider with primary practice located at 1830 Juan Tabo Blvd Ne , Albuquerque NM 87112-3302. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wray, Stephen can be contacted via phone (505) 294-1401.Contact Information
Primary practice address
1830 Juan Tabo Blvd Ne
Albuquerque NM 87112-3302
Phone: (505) 294-1401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | NM1630 | New Mexico |
Profile Details
| NPI number | 1134125222 |
|---|---|
| LBN Legal business name | Wray, Stephen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Aug 29th, 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 | 1134125222 | NPPES |
| New Mexico | Other | 826091 | UNITED CONCORDIA |
| New Mexico | Other | 8957 | UNITED CONCORDIA |
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