Grey, Mary Beth

Grey, Mary Beth is an individual health care provider with primary practice located at 2221 Health Dr Sw , Wyoming MI 49509. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Grey, Mary Beth can be contacted via phone (616) 532-5025.

Contact Information

Primary practice address
2221 Health Dr Sw Wyoming MI 49509
Fax: (616) 532-6126
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 011301 Michigan

Profile Details

NPI number 1104929744
LBN Legal business name Grey, Mary Beth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jun 6th, 2012 - about 13 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 1104929744 NPPES
Michigan Other 5410102 BLUE CROSS
Michigan MEDICAID 3230775 BLUE CROSS
Michigan Other 5410102 BLUE CROSS
Michigan Other M031721 BLUE CROSS
Michigan Other 110956 BLUE CROSS
Michigan MEDICAID 4112088 BLUE CROSS
Michigan MEDICAID 3186229 BLUE CROSS

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