Grossman, Stephen Michael
Grossman, Stephen Michael is an sole proprietor health care provider with primary practice located at 87 E Olive Ave Ste 100 , Fresno CA 93728-3059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Grossman, Stephen Michael can be contacted via phone (559) 499-1233.Contact Information
Primary practice address
87 E Olive Ave Ste 100
Fresno CA 93728-3059
Phone: (559) 499-1233
Fax: (559) 499-1232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | G64749 | California |
Profile Details
| NPI number | 1942220926 |
|---|---|
| LBN Legal business name | Grossman, Stephen Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Oct 5th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942220926 | NPPES |
| California | MEDICAID | 00G647490 |
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