Gross, Tom A

Gross, Tom A is an individual health care provider with primary practice located at 4144 Haywood Rd Ste 4, Horse Shoe NC 28742. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Gross, Tom A can be contacted via phone (828) 891-8868.

Contact Information

Primary practice address
4144 Haywood Rd Ste 4 Horse Shoe NC 28742
Fax: (828) 891-8897
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X NC2118 North Carolina

Profile Details

NPI number 1104860014
LBN Legal business name Gross, Tom A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Dec 10th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104860014 NPPES
North Carolina Other 0847B NC STATE HEALTH PLAN
North Carolina Other 0847B NC STATE HEALTH PLAN
North Carolina MEDICAID 890847B NC STATE HEALTH PLAN

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