Gray, Jerry L

Gray, Jerry L is an individual health care provider with primary practice located at 1190 Waianuenue Ave , Hilo HI 96720-2020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gray, Jerry L can be contacted via phone (808) 261-3326.

Contact Information

Primary practice address
1190 Waianuenue Ave Hilo HI 96720-2020
Phone: (808) 261-3326
Fax: (808) 263-4604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G4461 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD-12017 Hawaii

Profile Details

NPI number 1881600732
LBN Legal business name Gray, Jerry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881600732 NPPES
Hawaii MEDICAID 535932
Hawaii Other 8A9550
Hawaii Other 0000240366

Popular Providers