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Contact Information

HENRY P GRAYNER, ATC
100 LOCK ST
NEWARK, NJ07102
 Phone: 973-596-5242
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for HENRY P GRAYNER · (Male)

NPI # 1679042295
Status Active
Credentials ATC
Entity Individual
Enumeration date 11/14/2018
Last updated 11/14/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MT00023800
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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