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Contact Information

CHARLES M GRAY
5863 RENNINGER ROAD
NEW FRANKLIN, OH44319
 Phone: 330-212-8757
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for CHARLES M GRAY · (Male)

NPI Number 1467051250
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2020
Last updated 10/22/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • OH Medicaid 7716529
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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