Gross, John W
Gross, John W is an individual health care provider with primary practice located at 1048 N Mcewan St , Clare MI 48617-1154. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gross, John W can be contacted via phone (989) 386-2900.Contact Information
Primary practice address
1048 N Mcewan St
Clare MI 48617-1154
Phone: (989) 386-2900
Fax: (989) 386-3710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 5302027910 | Michigan |
Profile Details
| NPI number | 1215457817 |
|---|---|
| LBN Legal business name | Gross, John W |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2017 |
| Last updated | Jun 25th, 2023 - about 2 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 | 1215457817 | NPPES |
| Michigan | MEDICAID | 2365496 |
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