Grossman, Edward Nathan
Grossman, Edward Nathan is an sole proprietor health care provider with primary practice located at 4013 W Oriole Ct , Visalia CA 93291-8078. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Grossman, Edward Nathan can be contacted via phone (559) 905-0062.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6038T | California |
Profile Details
| NPI number | 1366540114 |
|---|---|
| LBN Legal business name | Grossman, Edward Nathan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 13th, 2013 - about 11 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 | 1366540114 | NPPES |
| California | Other | 95-3267897 | FED. TAX ID |
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