Grossman, Ira C
Grossman, Ira C is an individual health care provider with primary practice located at 670 S River St Ste 301 , Plains PA 18705-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Grossman, Ira C can be contacted via phone (570) 270-2600.Contact Information
Primary practice address
670 S River St Ste 301
Plains PA 18705-1032
Phone: (570) 270-2600
Fax: (570) 270-2828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD018268E | Pennsylvania |
Profile Details
| NPI number | 1740371970 |
|---|---|
| LBN Legal business name | Grossman, Ira C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 5th, 2018 - about 6 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 | 1740371970 | NPPES |
| Pennsylvania | MEDICAID | 0007116840001 |
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