Gray, Bryan

Gray, Bryan is an sole proprietor health care provider with primary practice located at 525 N Eastown Rd Ste A , Lima OH 45807-2268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gray, Bryan can be contacted via phone (419) 998-8297.

Contact Information

Primary practice address
525 N Eastown Rd Ste A Lima OH 45807-2268
Fax: (419) 226-8309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5101021720 Michigan
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 34.013501 Ohio

Profile Details

NPI number 1831514025
LBN Legal business name Gray, Bryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2014
Last updated Mar 27th, 2024 - about 8 months 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 1831514025 NPPES
Ohio Other 34.013501 OH LICENSE
Ohio Other 5101021720 OH LICENSE

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