Grossman, Jay

Grossman, Jay is an individual health care provider with primary practice located at 1521 E Tangerine Rd Suite 311, Oro Valley AZ 85755-6225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Grossman, Jay can be contacted via phone (520) 797-3111.

Contact Information

Primary practice address
1521 E Tangerine Rd Suite 311 Oro Valley AZ 85755-6225
Fax: (520) 326-2575
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 20520 Arizona

Profile Details

NPI number 1467480855
LBN Legal business name Grossman, Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Oct 3rd, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467480855 NPPES
Arizona MEDICAID 123662

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