Grayson, Elijah Jacob
Grayson, Elijah Jacob is an sole proprietor health care provider with primary practice located at 7300 N Perimeter Rd , Malmstrom Afb MT 59402-6701. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Grayson, Elijah Jacob can be contacted via phone (406) 731-2511.Contact Information
Primary practice address
7300 N Perimeter Rd
Malmstrom Afb MT 59402-6701
Phone: (406) 731-2511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X |
Profile Details
| NPI number | 1356917850 |
|---|---|
| LBN Legal business name | Grayson, Elijah Jacob |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2021 |
| Last updated | Jun 3rd, 2021 - about 4 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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