Gross, Barry J

Gross, Barry J is an sole proprietor health care provider with primary practice located at 9838 Dixie Hwy , Fair Haven MI 48023-2813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gross, Barry J can be contacted via phone (586) 725-9611.

Contact Information

Primary practice address
9838 Dixie Hwy Fair Haven MI 48023-2813
Phone: (586) 725-9611
Fax: (586) 725-2630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 5101007067 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101007067 Michigan

Profile Details

NPI number 1811952294
LBN Legal business name Gross, Barry J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Feb 16th, 2022 - about 2 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 1811952294 NPPES
Michigan MEDICAID 1097101

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