Grayson, David J

Grayson, David J is an individual health care provider with primary practice located at 5420 Milan Rd Firelands Corporate Health, Sandusky OH 44870-5846. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grayson, David J can be contacted via phone (419) 557-5052.

Contact Information

Primary practice address
5420 Milan Rd Firelands Corporate Health Sandusky OH 44870-5846
Fax: (419) 624-0513
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35049350G Ohio

Profile Details

NPI number 1467410076
LBN Legal business name Grayson, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 14th, 2011 - about 13 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 1467410076 NPPES
Ohio MEDICAID 0575499

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