Grossman, Brenda J
Grossman, Brenda J is an individual health care provider with primary practice located at 4921 Parkview Pl Ste 4E, Saint Louis MO 63110-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, which is considered as her primary health care specialty. Grossman, Brenda J can be contacted via phone (314) 362-5641.Contact Information
Primary practice address
4921 Parkview Pl Ste 4E
Saint Louis MO 63110-1032
Phone: (314) 362-5641
Fax: (314) 362-0369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine | 207ZB0001X | 105103 | Missouri |
Profile Details
| NPI number | 1811908478 |
|---|---|
| LBN Legal business name | Grossman, Brenda J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Nov 15th, 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 | 1811908478 | NPPES |
| Missouri | MEDICAID | 205389703 |
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