Gray, David Bradley
Gray, David Bradley is an sole proprietor health care provider with primary practice located at 131 Jpm Rd Ste A , Lewisburg PA 17837-9309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gray, David Bradley can be contacted via phone (570) 523-6115.Contact Information
Primary practice address
131 Jpm Rd Ste A
Lewisburg PA 17837-9309
Phone: (570) 523-6115
Fax: (570) 523-6178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS006646E | Pennsylvania |
Profile Details
| NPI number | 1326087172 |
|---|---|
| LBN Legal business name | Gray, David Bradley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Apr 15th, 2022 - about 2 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 | 1326087172 | NPPES |
| Pennsylvania | MEDICAID | 0011324990008 | |
| Pennsylvania | Other | 136447F6K |
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