Grossman, Cheryl Renee
Grossman, Cheryl Renee is an individual health care provider with primary practice located at 515 Fairmount Ave Ste 400 , Towson MD 21286-8518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grossman, Cheryl Renee can be contacted via phone (410) 494-1313.Contact Information
Primary practice address
515 Fairmount Ave Ste 400
Towson MD 21286-8518
Phone: (410) 494-1313
Fax: (410) 584-2250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0001112 | Maryland |
Profile Details
| NPI number | 1700842762 |
|---|---|
| LBN Legal business name | Grossman, Cheryl Renee |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Nov 30th, 2020 - about 5 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 | 1700842762 | NPPES |
| Maryland | MEDICAID | 798621100 |
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