Grayson, Tedrick

Grayson, Tedrick is an individual health care provider with primary practice located at 152 Toston Rd , West Monroe LA 71292-2235. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Grayson, Tedrick can be contacted via phone (907) 231-1416.

Contact Information

Primary practice address
152 Toston Rd West Monroe LA 71292-2235
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1023553815
LBN Legal business name Grayson, Tedrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2017
Last updated Jan 3rd, 2017 - about 7 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.

Request for update

Popular Providers