Ross, David S.

Ross, David S. is an individual health care provider with primary practice located at 1175 E Mountain Blvd , Wilkes Barre PA 18702-7906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ross, David S. can be contacted via phone (570) 808-1093.

Contact Information

Primary practice address
1175 E Mountain Blvd Wilkes Barre PA 18702-7906
Phone: (570) 808-1093
Fax: (570) 808-7878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD053608L Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X MD053608L Pennsylvania

Profile Details

NPI number 1720059801
LBN Legal business name Ross, David S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jun 10th, 2020 - about 4 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 1720059801 NPPES
Pennsylvania MEDICAID 1017344800001

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