Gray, Ronald

Gray, Ronald is an individual health care provider with primary practice located at 1010 E 10Th St , Tucson AZ 85719-5813. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Gray, Ronald can be contacted via phone (520) 232-8300.

Contact Information

Primary practice address
1010 E 10Th St Tucson AZ 85719-5813
Fax: (520) 232-8324
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1265657761
LBN Legal business name Gray, Ronald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 18 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 1265657761 NPPES
Arizona MEDICAID 573130

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