Gruich, Charles J

Gruich, Charles J is an sole proprietor health care provider with primary practice located at 2356 Pass Rd Suite 100, Biloxi MS 39531-2236. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as his primary health care specialty. Gruich, Charles J can be contacted via phone (228) 388-7080.

Contact Information

Primary practice address
2356 Pass Rd Suite 100 Biloxi MS 39531-2236
Phone: (228) 388-7080
Fax: (228) 388-7493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 08349 Mississippi

Profile Details

NPI number 1457436347
LBN Legal business name Gruich, Charles J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Mar 7th, 2023 - about 3 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 1457436347 NPPES
Mississippi Other 08349 LIC.#

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