Grossman, Samuel L

Grossman, Samuel L is an individual health care provider with primary practice located at 181 W Emmett St , Battle Creek MI 49037-2963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Grossman, Samuel L can be contacted via phone (269) 966-2600.

Contact Information

Primary practice address
181 W Emmett St Battle Creek MI 49037-2963
Phone: (269) 966-2600
Fax: (269) 965-4773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5101010868 Michigan

Profile Details

NPI number 1972565513
LBN Legal business name Grossman, Samuel L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 6th, 2007 - about 17 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 1972565513 NPPES
Michigan MEDICAID 4461230
Michigan MEDICAID 3368240

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