Gross, Stephanie
Gross, Stephanie is an individual health care provider with primary practice located at 3930 Sunforest Ct Ste 200 , Toledo OH 43623-4441. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gross, Stephanie can be contacted via phone (419) 251-0070.Contact Information
Primary practice address
3930 Sunforest Ct Ste 200
Toledo OH 43623-4441
Phone: (419) 251-0070
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 5501019746 | Michigan |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT017277 | Ohio |
Profile Details
| NPI number | 1033840657 |
|---|---|
| LBN Legal business name | Gross, Stephanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2022 |
| Last updated | Jun 7th, 2024 - about 6 months 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 | 1033840657 | NPPES |
| Ohio | MEDICAID | 0027748 |
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