Grayson, Derek
Grayson, Derek is an sole proprietor health care provider with primary practice located at 11800 E 12 Mile Rd Ste 205 , Warren MI 48093-3472. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Grayson, Derek can be contacted via phone (586) 582-7033.Contact Information
Primary practice address
11800 E 12 Mile Rd Ste 205
Warren MI 48093-3472
Phone: (586) 582-7033
Fax: (586) 582-7034
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4301502795 | Michigan |
Profile Details
NPI number | 1932652351 |
---|---|
LBN Legal business name | Grayson, Derek |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 2nd, 2016 |
Last updated | May 22nd, 2024 - about 4 months 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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