Gross, Bruce Allen

Gross, Bruce Allen is an individual health care provider with primary practice located at 1000 Rush Dr , Salida CO 81201-9627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gross, Bruce Allen can be contacted via phone (719) 530-2200.

Contact Information

Primary practice address
1000 Rush Dr Salida CO 81201-9627
Phone: (719) 530-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 26498 Colorado

Profile Details

NPI number 1013967355
LBN Legal business name Gross, Bruce Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Oct 21st, 2013 - about 12 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 1013967355 NPPES
Colorado MEDICAID 01264985

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