Gross, Andrew Lane

Gross, Andrew Lane is an individual health care provider with primary practice located at 1501 E 3Rd St # 81416 , Delta CO 81416-2815. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Gross, Andrew Lane can be contacted via phone (970) 874-7681.

Contact Information

Primary practice address
1501 E 3Rd St # 81416 Delta CO 81416-2815
Phone: (970) 874-7681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 04-39723 Kansas
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 44054 Colorado

Profile Details

NPI number 1467562470
LBN Legal business name Gross, Andrew Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 14th, 2021 - about 3 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 1467562470 NPPES
Colorado MEDICAID 22433031

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