Grow, Chelsea R

Grow, Chelsea R is an individual health care provider with primary practice located at 1340 Broad Avenue Ste 440, Gulfport MS 39501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Grow, Chelsea R can be contacted via phone (228) 867-4855.

Contact Information

Primary practice address
1340 Broad Avenue Ste 440 Gulfport MS 39501
Fax: (228) 867-4870
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 19022 Mississippi

Profile Details

NPI number 1205997251
LBN Legal business name Grow, Chelsea R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jul 10th, 2014 - about 11 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 1205997251 NPPES
Mississippi MEDICAID 07985779

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