Gray, Mikel

Gray, Mikel is an individual health care provider with primary practice located at 500 Ray C Hunt Dr Fl 3 , Charlottesville VA 22903-2981. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Gray, Mikel can be contacted via phone (434) 924-2224.

Contact Information

Primary practice address
500 Ray C Hunt Dr Fl 3 Charlottesville VA 22903-2981
Phone: (434) 924-2224
Fax: (434) 982-3652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0024079837 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024079837 Virginia

Profile Details

NPI number 1073637708
LBN Legal business name Gray, Mikel
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Mar 8th, 2019 - about 5 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 1073637708 NPPES
Virginia MEDICAID 007781555

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