Gray, Jon Harvey

Gray, Jon Harvey is an sole proprietor health care provider with primary practice located at 1701 Oak Park Blvd. , Lake Charles LA 70601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Gray, Jon Harvey can be contacted via phone (337) 494-3036.

Contact Information

Primary practice address
1701 Oak Park Blvd. Lake Charles LA 70601
Phone: (337) 494-3036
Fax: (337) 494-2181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 022139 Louisiana
Allopathic & Osteopathic Physicians / General Practice 208D00000X 022139 Louisiana

Profile Details

NPI number 1356322077
LBN Legal business name Gray, Jon Harvey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Apr 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356322077 NPPES
Louisiana MEDICAID 1668974
Louisiana MEDICAID 66897

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