Grossell, James

Grossell, James is an individual health care provider with primary practice located at 401 Alcorn Dr , Corinth MS 38834-9072. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Grossell, James can be contacted via phone (662) 293-2000.

Contact Information

Primary practice address
401 Alcorn Dr Corinth MS 38834-9072
Phone: (662) 293-2000
Fax: (662) 665-0857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R556955 Mississippi

Profile Details

NPI number 1871697086
LBN Legal business name Grossell, James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871697086 NPPES
Mississippi MEDICAID 00019891

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