Gray, Deetta
Gray, Deetta is an individual health care provider with primary practice located at 1515 116Th Ave Ne Ste 307, Bellevue WA 98004-3811. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Gray, Deetta can be contacted via phone (425) 999-2628.Contact Information
Primary practice address
1515 116Th Ave Ne Ste 307
Bellevue WA 98004-3811
Phone: (425) 999-2628
Fax: (425) 646-2965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 025209 MD00035417 | Washington |
Profile Details
| NPI number | 1790825966 |
|---|---|
| LBN Legal business name | Gray, Deetta |
| Credentials | M.D., FAAD, FRCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Feb 26th, 2014 - about 11 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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