National Provider Identifier Database

CARLA J GRAY
Long-Term Care


Contact Information

CARLA J GRAY
3100 SHAWNEE DR S
BEDFORD, IN47421-5287
Phone: 812-675-4154
Fax:
Website:
Specialty Taxonomy Code
* Long-Term Care 364SL0600X

* Indicates primary specialty

NPI Profile & details for CARLA J GRAY

NPI Number 1205405016
Credentials
Entity Individual
Enumeration date 06/24/2021
Last updated 06/24/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 28205916A
Hospital affiliation n/a

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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