Gray, Denise

Gray, Denise is an individual health care provider with primary practice located at 475 Lexington Ave , Mansfield OH 44907-1501. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Gray, Denise can be contacted via phone (419) 419-5705.

Contact Information

Primary practice address
475 Lexington Ave Mansfield OH 44907-1501
Phone: (419) 419-5705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X

Profile Details

NPI number 1407423791
LBN Legal business name Gray, Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2021
Last updated Jul 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407423791 NPPES
Ohio MEDICAID 00000000000000

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