Gross, Paul Kenneth
Gross, Paul Kenneth is an individual health care provider with primary practice located at 401 N 17Th Street Suite 304, Allentown PA 18104-5014. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gross, Paul Kenneth can be contacted via phone (610) 820-3900.Contact Information
Primary practice address
401 N 17Th Street Suite 304
Allentown PA 18104-5014
Phone: (610) 820-3900
Fax: (610) 820-3835
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | MD014403E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD014403E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | MD014403E | Pennsylvania |
Profile Details
| NPI number | 1598871097 |
|---|---|
| LBN Legal business name | Gross, Paul Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Oct 8th, 2012 - about 12 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 | 1598871097 | NPPES |
| Pennsylvania | MEDICAID | 0005529530001 | |
| Pennsylvania | Other | 01197501 | |
| Pennsylvania | Other | 004780000 | |
| Pennsylvania | Other | P711319 | |
| Pennsylvania | Other | 260045197 | |
| Pennsylvania | Other | 163384 |
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