Grousd, Michael H
Grousd, Michael H is an sole proprietor health care provider with primary practice located at 1360 W Irvington Rd Ste 180 , Tucson AZ 85746-4102. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Grousd, Michael H can be contacted via phone (520) 777-1428.Contact Information
Primary practice address
1360 W Irvington Rd Ste 180
Tucson AZ 85746-4102
Phone: (520) 777-1428
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DO7926 | Arizona |
Profile Details
| NPI number | 1821260951 |
|---|---|
| LBN Legal business name | Grousd, Michael H |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2008 |
| Last updated | Jan 14th, 2019 - about 6 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 | 1821260951 | NPPES |
| Illinois | Other | 80022385 | BLUE CROSS BLUE SHIELD |
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