Gross, Geraldine

Gross, Geraldine is an sole proprietor health care provider with primary practice located at 41 Glencove Ave , Bangor ME 04401-4226. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Gross, Geraldine can be contacted via phone (207) 990-5634.

Contact Information

Primary practice address
41 Glencove Ave Bangor ME 04401-4226
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP1328 Maine

Profile Details

NPI number 1235203936
LBN Legal business name Gross, Geraldine
Credentials MA, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Dec 8th, 2008 - about 17 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 1235203936 NPPES
Maine MEDICAID 324660000
Maine Other 123223

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