Provider Demographics
NPI:1922151067
Name:GRAY, JONI MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JONI
Middle Name:MARIE
Last Name:GRAY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 MANNS HILL RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-5216
Mailing Address - Country:US
Mailing Address - Phone:603-444-4881
Mailing Address - Fax:
Practice Address - Street 1:895 MANNS HILL RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-5216
Practice Address - Country:US
Practice Address - Phone:603-444-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH147-1093111N00000X
VT953111N00000X
AZ5913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0503272Y0H01OtherANTHEM
NH0503272Y0H01OtherANTHEM