Gross, Wayne D
Gross, Wayne D is an sole proprietor health care provider with primary practice located at 323 Marion Ave Nw Suite 200, Massillon OH 44646-3639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gross, Wayne D can be contacted via phone (330) 837-1111.Contact Information
Primary practice address
323 Marion Ave Nw Suite 200
Massillon OH 44646-3639
Phone: (330) 837-1111
Fax: (330) 837-1769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 34005735 | Ohio |
Profile Details
| NPI number | 1013916717 |
|---|---|
| LBN Legal business name | Gross, Wayne D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Jun 29th, 2010 - about 14 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 | 1013916717 | NPPES |
| Ohio | MEDICAID | 0925280 |
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