Grossmann, Douglas L
Grossmann, Douglas L is an individual health care provider with primary practice located at 1000 Lincoln Cir Se Suite 100, Orange City IA 51041-1862. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Grossmann, Douglas L can be contacted via phone (712) 737-2000.Contact Information
Primary practice address
1000 Lincoln Cir Se Suite 100
Orange City IA 51041-1862
Phone: (712) 737-2000
Fax: (712) 737-2115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001252 | Iowa |
Profile Details
| NPI number | 1679550727 |
|---|---|
| LBN Legal business name | Grossmann, Douglas L |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Feb 9th, 2023 - about 2 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 | 1679550727 | NPPES |
| Iowa | Other | 0117548 | MEDICA |
| Iowa | Other | 42603840551401 | MEDICA |
| Iowa | Other | P05392 | MEDICA |
| Iowa | Other | 426038405 | MEDICA |
| Iowa | Other | 426038405 | MEDICA |
| Iowa | Other | 0117548 | MEDICA |
| Iowa | Other | 426038405 | MEDICA |
| Iowa | Other | 703361027754 | MEDICA |
| Iowa | MEDICAID | 0012815 | MEDICA |
| Iowa | Other | 10014 | MEDICA |
| Iowa | Other | 238209 | MEDICA |
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