Gross, Vicky Jo
Gross, Vicky Jo is an individual health care provider with primary practice located at 4600 W Washington St , South Bend IN 46619-2320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gross, Vicky Jo can be contacted via phone (574) 282-1294.Contact Information
Primary practice address
4600 W Washington St
South Bend IN 46619-2320
Phone: (574) 282-1294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4704270659 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71011297A | Indiana |
Profile Details
| NPI number | 1811590623 |
|---|---|
| LBN Legal business name | Gross, Vicky Jo |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2020 |
| Last updated | Jul 22nd, 2021 - about 4 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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