Del Grosso, Edward A

Del Grosso, Edward A is an sole proprietor health care provider with primary practice located at 1320 W. Main Street , Newark OH 43055-1822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Del Grosso, Edward A can be contacted via phone (740) 348-4779.

Contact Information

Primary practice address
1320 W. Main Street Newark OH 43055-1822
Phone: (740) 348-4779
Fax: (740) 348-4740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35-079067 Ohio

Profile Details

NPI number 1316028665
LBN Legal business name Del Grosso, Edward A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Nov 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316028665 NPPES
Other 000000195585 ANTHEM BC/BS
Other 310851206015 ANTHEM BC/BS
Other 000000195585 ANTHEM BC/BS
Other 300124726 ANTHEM BC/BS
MEDICAID 2224524 ANTHEM BC/BS

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