Gray, Jasmine C
Gray, Jasmine C is an individual health care provider with primary practice located at 1300 N Vel R Phillips Ave Apt 301 , Milwaukee WI 53212-4008. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Gray, Jasmine C can be contacted via phone (141) 455-1541.Contact Information
Primary practice address
1300 N Vel R Phillips Ave Apt 301
Milwaukee WI 53212-4008
Phone: (141) 455-1541
Fax: (414) 551-5416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | Wisconsin |
Profile Details
| NPI number | 1639788698 |
|---|---|
| LBN Legal business name | Gray, Jasmine C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2020 |
| Last updated | Jul 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639788698 | NPPES |
| Wisconsin | MEDICAID | 81-4909668 |
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