Gross, Craig Viking
Gross, Craig Viking is an sole proprietor health care provider with primary practice located at 615 Chimborazo Blvd , Richmond VA 23223-7530. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Gross, Craig Viking can be contacted via phone (303) 875-5869.Contact Information
Primary practice address
615 Chimborazo Blvd
Richmond VA 23223-7530
Phone: (303) 875-5869
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1669798658 |
|---|---|
| LBN Legal business name | Gross, Craig Viking |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 15th, 2010 |
| Last updated | Apr 15th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669798658 | NPPES |
| Virginia | MEDICAID | 0157485415 |
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