Grossman, Marvin N

Grossman, Marvin N is an individual health care provider with primary practice located at 1266 S Main St , North Canton OH 44720-4271. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Grossman, Marvin N can be contacted via phone (330) 494-2700.

Contact Information

Primary practice address
1266 S Main St North Canton OH 44720-4271
Phone: (330) 494-2700
Fax: (330) 494-6898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 36001528 Ohio

Profile Details

NPI number 1538144704
LBN Legal business name Grossman, Marvin N
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2005
Last updated Mar 4th, 2008 - about 16 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 1538144704 NPPES
Ohio MEDICAID 0162005
Ohio Other 4389870001

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