Ross, Gary Edward

Ross, Gary Edward is an individual health care provider with primary practice located at 18101 Oakwood Blvd Er Department, Dearborn MI 48124-4089. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Ross, Gary Edward can be contacted via phone (313) 593-8780.

Contact Information

Primary practice address
18101 Oakwood Blvd Er Department Dearborn MI 48124-4089
Phone: (313) 593-8780
Fax: (313) 436-2864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X GR008141 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101008141 Michigan

Profile Details

NPI number 1639191489
LBN Legal business name Ross, Gary Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Mar 26th, 2014 - about 10 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 1639191489 NPPES
Michigan Other 11287313 CAQH

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