Bray, Dennis D

Bray, Dennis D is an individual health care provider with primary practice located at 100 Hospital Dr , Lebanon MO 65536-9210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bray, Dennis D can be contacted via phone (800) 277-8151.

Contact Information

Primary practice address
100 Hospital Dr Lebanon MO 65536-9210
Phone: (800) 277-8151
Fax: (336) 841-6217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 087809 Missouri

Profile Details

NPI number 1770586190
LBN Legal business name Bray, Dennis D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Oct 10th, 2011 - about 13 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 1770586190 NPPES
Missouri MEDICAID 919780601

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