Grayson, Charles W
Grayson, Charles W is an sole proprietor health care provider with primary practice located at 2120 Sw 22Nd Pl , Ocala FL 34471-7765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as his primary health care specialty. Grayson, Charles W can be contacted via phone (352) 732-5042.Contact Information
Primary practice address
2120 Sw 22Nd Pl
Ocala FL 34471-7765
Phone: (352) 732-5042
Fax: (352) 732-6031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | OS6830 | Florida |
Profile Details
| NPI number | 1629076252 |
|---|---|
| LBN Legal business name | Grayson, Charles W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Aug 10th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629076252 | NPPES |
| Florida | MEDICAID | 377014100 |
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