Gray, Jessica
Gray, Jessica is an sole proprietor health care provider with primary practice located at 1001 W Evans St Ste 102 , Florence SC 29501-3388. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Gray, Jessica can be contacted via phone (843) 253-0435.Contact Information
Primary practice address
1001 W Evans St Ste 102
Florence SC 29501-3388
Phone: (843) 253-0435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | HTP1068 | South Carolina |
Profile Details
| NPI number | 1396307674 |
|---|---|
| LBN Legal business name | Gray, Jessica |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2019 |
| Last updated | Nov 27th, 2023 - about 2 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 | 1396307674 | NPPES |
| South Carolina | Other | HTP1068 | SCDHEC |
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