Gray, Linda

Gray, Linda is an individual health care provider with primary practice located at 805 N Broad St , Carlinville IL 62626-1075. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Gray, Linda can be contacted via phone (217) 854-3223.

Contact Information

Primary practice address
805 N Broad St Carlinville IL 62626-1075
Phone: (217) 854-3223
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X 041.297157 Illinois

Profile Details

NPI number 1609326073
LBN Legal business name Gray, Linda
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2016
Last updated Oct 10th, 2016 - about 8 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 1609326073 NPPES
Illinois MEDICAID 376001351008
Illinois MEDICAID 376001351007

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