Grayson, Timothy E

Grayson, Timothy E is an individual health care provider with primary practice located at 280 Exempla Cir , Lafayette CO 80026-3370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Grayson, Timothy E can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
280 Exempla Cir Lafayette CO 80026-3370
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 41395 Colorado

Profile Details

NPI number 1144357179
LBN Legal business name Grayson, Timothy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Apr 26th, 2021 - about 3 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 1144357179 NPPES
Other 014828 KAISER-COMMERCIAL NUMBER
MEDICAID 52451887 KAISER-COMMERCIAL NUMBER

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