Gray, Thomas

Gray, Thomas is an individual health care provider with primary practice located at 1000 Health Center Drive Anesthesiology Department, Mattoon IL 61938. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Gray, Thomas can be contacted via phone (217) 258-2440.

Contact Information

Primary practice address
1000 Health Center Drive Anesthesiology Department Mattoon IL 61938
Phone: (217) 258-2440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-000882 Illinois

Profile Details

NPI number 1619069507
LBN Legal business name Gray, Thomas
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Apr 25th, 2011 - about 14 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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