Gray, Charles M

Gray, Charles M is an sole proprietor health care provider with primary practice located at 5863 Renninger Road , New Franklin OH 44319. He recently has 2 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is his primary health care specialty. Gray, Charles M can be contacted via phone (330) 212-8757.

Contact Information

Primary practice address
5863 Renninger Road New Franklin OH 44319
Phone: (330) 212-8757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X Ohio
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Ohio

Profile Details

NPI number 1467051250
LBN Legal business name Gray, Charles M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2020
Last updated Oct 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467051250 NPPES
Ohio MEDICAID 7716529

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