Gray-Coats, Dominique Maurice
Gray-Coats, Dominique Maurice is an sole proprietor health care provider with primary practice located at 2501 Broadway St , Little Rock AR 72206-2149. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Gray-Coats, Dominique Maurice can be contacted via phone (501) 612-4068.Contact Information
Primary practice address
2501 Broadway St
Little Rock AR 72206-2149
Phone: (501) 612-4068
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X |
Profile Details
| NPI number | 1912662206 |
|---|---|
| LBN Legal business name | Gray-Coats, Dominique Maurice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2021 |
| Last updated | Nov 2nd, 2021 - 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 | 1912662206 | NPPES |
| Arkansas | Other | 87-3371255 | NONE |
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