Gray, Wayne L
Gray, Wayne L is an individual health care provider with primary practice located at 2525 W University Ave Suite 300, Muncie IN 47303-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gray, Wayne L can be contacted via phone (765) 281-2000.Contact Information
Primary practice address
2525 W University Ave Suite 300
Muncie IN 47303-3400
Phone: (765) 281-2000
Fax: (765) 281-2062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01021159A | Indiana |
Profile Details
| NPI number | 1588633663 |
|---|---|
| LBN Legal business name | Gray, Wayne L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 8th, 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 | 1588633663 | NPPES |
| Indiana | Other | 000000392511 | ANTHEM |
| Indiana | Other | 011568083 | ANTHEM |
| Indiana | MEDICAID | 100104810B | ANTHEM |
| Indiana | Other | P00413055 | ANTHEM |
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