Gross, Fredric Jay

Gross, Fredric Jay is an individual health care provider with primary practice located at 109 Wimbledon Sq Ste E, Chesapeake VA 23320-4945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gross, Fredric Jay can be contacted via phone (757) 547-9830.

Contact Information

Primary practice address
109 Wimbledon Sq Ste E Chesapeake VA 23320-4945
Phone: (757) 547-9830
Fax: (757) 548-0721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101046621 Virginia

Profile Details

NPI number 1184629271
LBN Legal business name Gross, Fredric Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Feb 2nd, 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 1184629271 NPPES
Virginia Other 058244 ANTHEM BC/BS
Virginia Other 15510 ANTHEM BC/BS
Virginia Other 180016154 ANTHEM BC/BS
Virginia MEDICAID 6306616 ANTHEM BC/BS
Virginia Other 0800124 ANTHEM BC/BS
Virginia Other 890512X ANTHEM BC/BS

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