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
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1235203936 | NPPES |
Maine | MEDICAID | 324660000 | |
Maine | Other | 123223 |
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