Gray, Michael J.
Gray, Michael J. is an sole proprietor health care provider with primary practice located at 100 South St , Southbridge MA 01550-4051. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Gray, Michael J. can be contacted via phone (508) 765-9771.Contact Information
Primary practice address
100 South St
Southbridge MA 01550-4051
Phone: (508) 765-9771
Fax: (508) 764-2448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1553 | Massachusetts |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 246753 | Massachusetts |
Profile Details
| NPI number | 1316033871 |
|---|---|
| LBN Legal business name | Gray, Michael J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Oct 29th, 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 | 1316033871 | NPPES |
| Massachusetts | MEDICAID | 110104113A |
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