Grayson, George Ira
Grayson, George Ira is an individual health care provider with primary practice located at 816 Independence Blvd Suite 3K, Virginia Beach VA 23455-6010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Grayson, George Ira can be contacted via phone (757) 460-9200.Contact Information
Primary practice address
816 Independence Blvd Suite 3K
Virginia Beach VA 23455-6010
Phone: (757) 460-9200
Fax: (757) 460-6553
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101031724 | Virginia |
Profile Details
NPI number | 1285621060 |
---|---|
LBN Legal business name | Grayson, George Ira |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2005 |
Last updated | Nov 4th, 2009 - about 15 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 | 1285621060 | NPPES |
Virginia | MEDICAID | 006099548 |
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