Richard Grayson

LBN: Richard Grayson
Richard Grayson is an health care organization with primary practice located at 40 Avon Meadow Ln , Avon CT 06001-3753. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Richard Grayson can be contacted via phone (860) 677-7733, or through Grayson, Richard Jeffrey via phone (860) 677-7733.

Contact Information

Primary practice address
40 Avon Meadow Ln Avon CT 06001-3753
Phone: (860) 677-7733
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grayson, Richard Jeffrey Doctor of Podiatric Medicine (DPM)
Phone: (860) 677-7733

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X P313 Connecticut

Profile Details

NPI number 1952583718
LBN Legal business name Richard Grayson
DBA Doing business as
Authorized official Grayson, Richard Jeffrey Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2007
Last updated Nov 23rd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952583718 NPPES
Connecticut MEDICAID 004050050

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