Grossman, Shelly M

Grossman, Shelly M is an individual health care provider with primary practice located at 3831 Lockport St Ste C , Bismarck ND 58503-5539. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Grossman, Shelly M can be contacted via phone (701) 751-2500.

Contact Information

Primary practice address
3831 Lockport St Ste C Bismarck ND 58503-5539
Phone: (701) 751-2500
Fax: (701) 751-0231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X H-0217 North Dakota
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 570 North Dakota

Profile Details

NPI number 1326080292
LBN Legal business name Grossman, Shelly M
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326080292 NPPES
North Dakota MEDICAID 52523

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