Grosserode, Michael J
Grosserode, Michael J is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 280, Johnson City TN 37604-2364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grosserode, Michael J can be contacted via phone (423) 794-5550.Contact Information
Primary practice address
301 Med Tech Pkwy Ste 280
Johnson City TN 37604-2364
Phone: (423) 794-5550
Fax: (423) 928-0394
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 26879 | Tennessee |
Profile Details
NPI number | 1710982848 |
---|---|
LBN Legal business name | Grosserode, Michael J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Mar 31st, 2021 - about 3 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 | 1710982848 | NPPES |
Tennessee | MEDICAID | 3091643 |
Popular Providers
-
Monderer, Rachel
301 Med Tech Pkwy Ste 280, Johnson City TN 37604-2364 -
Forbush, Frank A
301 Med Tech Pkwy Ste.280, Johnson City TN 37604-2364 -
Wiegand, Clifford Frank
107 Woodlawn Dr , Johnson City TN 37604-5978 -
Moulton, David F
301 Med Tech Pkwy Ste 240, Johnson City TN 37604 -
Hoover, Randy W
301 Med Tech Pkwy Ste 240, Johnson City TN 37604-2364 -
Williams, Mark A
301 Med Tech Pkwy Ste 240, Johnson City TN 37604-2364 -
Hatjioannou, Jason T
1930 Villa Ct , Johnson City TN 37615-4590 -
Cary, Matthew G
301 Med Tech Pkwy Ste 240, Johnson City TN 37604-2364