Gray, Stanley K

Gray, Stanley K is an individual health care provider with primary practice located at 5100 2Nd St Nw , Albuquerque NM 87107-4009. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Gray, Stanley K can be contacted via phone (505) 239-6438.

Contact Information

Primary practice address
5100 2Nd St Nw Albuquerque NM 87107-4009
Fax: (505) 342-3785
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X New Mexico

Profile Details

NPI number 1295898088
LBN Legal business name Gray, Stanley K
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jul 8th, 2007 - about 17 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 1295898088 NPPES
New Mexico Other NM600050 VALUE OPTIONS

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