Gross, Susan Ann
Gross, Susan Ann is an sole proprietor health care provider with primary practice located at 433 Slinger Rd Unit 1 , Slinger WI 53086-9356. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Gross, Susan Ann can be contacted via phone (262) 644-6240.Contact Information
Primary practice address
433 Slinger Rd Unit 1
Slinger WI 53086-9356
Phone: (262) 644-6240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | Wisconsin |
Profile Details
| NPI number | 1205020831 |
|---|---|
| LBN Legal business name | Gross, Susan Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2007 |
| Last updated | Aug 27th, 2007 - about 18 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 | 1205020831 | NPPES |
| Wisconsin | MEDICAID | 39860000 |
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