Gray, Jennifer

Gray, Jennifer is an sole proprietor health care provider with primary practice located at 414 E Burdick Rd , Chesterton IN 46304-9527. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Gray, Jennifer can be contacted via phone (317) 698-1057.

Contact Information

Primary practice address
414 E Burdick Rd Chesterton IN 46304-9527
Phone: (317) 698-1057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1497877617
LBN Legal business name Gray, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Jan 24th, 2019 - about 5 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 1497877617 NPPES
Indiana Other 200816420 FIRST STEPS PROVIDER #

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