Gray, Lawrence Dennis
Gray, Lawrence Dennis is an individual health care provider with primary practice located at 223 Harper St , Winston Salem NC 27104-3849. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Gray, Lawrence Dennis can be contacted via phone (336) 774-1624.Contact Information
Primary practice address
223 Harper St
Winston Salem NC 27104-3849
Phone: (336) 774-1624
Fax: (336) 774-8744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 2140 | North Carolina |
Profile Details
| NPI number | 1316967458 |
|---|---|
| LBN Legal business name | Gray, Lawrence Dennis |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Sep 10th, 2012 - about 12 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 | 1316967458 | NPPES |
| North Carolina | Other | 11370 | PARTNERS |
| North Carolina | MEDICAID | 890844M | PARTNERS |
| North Carolina | Other | A4613 | PARTNERS |
| North Carolina | Other | 0844M | PARTNERS |
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