Gray, Angela Lorraine
Gray, Angela Lorraine is an individual health care provider with primary practice located at 1608 S J St Fl 1 , Tacoma WA 98405-4930. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Gray, Angela Lorraine can be contacted via phone (253) 274-7501.Contact Information
Primary practice address
1608 S J St Fl 1
Tacoma WA 98405-4930
Phone: (253) 274-7501
Fax: (206) 246-0468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | ME117908 | Florida |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 2015-00395 | North Carolina |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | MD60930373 | Washington |
Profile Details
| NPI number | 1013947142 |
|---|---|
| LBN Legal business name | Gray, Angela Lorraine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Dec 3rd, 2020 - about 4 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 | 1013947142 | NPPES |
| New York | Other | P010232675 | BLUE CHOICE |
| New York | MEDICAID | 2137369 | BLUE CHOICE |
| New York | MEDICAID | 02565180 | BLUE CHOICE |
| New York | Other | 7380613 | BLUE CHOICE |
| New York | Other | P020232675 | BLUE CHOICE |
| New York | Other | 140226CK | BLUE CHOICE |
| New York | MEDICAID | 010203600 | BLUE CHOICE |
| New York | Other | 14T9X | BLUE CHOICE |
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