Gray, Carrie Jean

Gray, Carrie Jean is an individual health care provider with primary practice located at 911 Maryland Ave E , Saint Paul MN 55106-2697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gray, Carrie Jean can be contacted via phone (651) 776-2719.

Contact Information

Primary practice address
911 Maryland Ave E Saint Paul MN 55106-2697
Phone: (651) 776-2719
Fax: (651) 771-3978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10404 Minnesota

Profile Details

NPI number 1194784405
LBN Legal business name Gray, Carrie Jean
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Oct 27th, 2011 - about 14 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 1194784405 NPPES
Minnesota MEDICAID 958157000

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