Grosskinsky, Clemens Martin
Grosskinsky, Clemens Martin is an individual health care provider with primary practice located at 320 Lennon Ln Lassen Building, 2Nd Floor, Suite 5B, Walnut Creek CA 94598-2419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Grosskinsky, Clemens Martin can be contacted via phone (925) 906-2329.Contact Information
Primary practice address
320 Lennon Ln Lassen Building, 2Nd Floor, Suite 5B
Walnut Creek CA 94598-2419
Phone: (925) 906-2329
Fax: (925) 906-4870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 35066572G | Ohio |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | G87868 | California |
Profile Details
| NPI number | 1235128315 |
|---|---|
| LBN Legal business name | Grosskinsky, Clemens Martin |
| Credentials | PHD, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Dec 14th, 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 | 1235128315 | NPPES |
| Ohio | MEDICAID | 0264235 |
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