Grossman, Michael R
Grossman, Michael R is an individual health care provider with primary practice located at 330 S 5Th St , Enid OK 73701-5825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Grossman, Michael R can be contacted via phone (580) 249-3003.Contact Information
Primary practice address
330 S 5Th St
Enid OK 73701-5825
Phone: (580) 249-3003
Fax: (580) 599-6447
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 10463 | Oklahoma |
Profile Details
| NPI number | 1538158233 |
|---|---|
| LBN Legal business name | Grossman, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jul 31st, 2023 - about last year |
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 | 1538158233 | NPPES |
| Oklahoma | Other | 1E4684 | PTAN |
| Oklahoma | MEDICAID | 100013500A | PTAN |
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