Gray, John Robert
Gray, John Robert is an individual health care provider with primary practice located at 6200 Shingle Creek Pkwy Suite 250, Brooklyn Center MN 55430-2128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gray, John Robert can be contacted via phone (763) 544-0696.Contact Information
Primary practice address
6200 Shingle Creek Pkwy Suite 250
Brooklyn Center MN 55430-2128
Phone: (763) 544-0696
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 32388 | Minnesota |
Profile Details
| NPI number | 1619998499 |
|---|---|
| LBN Legal business name | Gray, John Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Mar 11th, 2021 - about 3 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 | 1619998499 | NPPES |
| Minnesota | MEDICAID | 427392300 | |
| Minnesota | Other | 3124729 | |
| Minnesota | Other | HP13411 | |
| Minnesota | MEDICAID | 31709300 | |
| Minnesota | Other | 103617C028 | |
| Minnesota | Other | 33007 | |
| Minnesota | Other | IM0129 |
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