Gross, Craig Viking

Gross, Craig Viking is an sole proprietor health care provider with primary practice located at 615 Chimborazo Blvd , Richmond VA 23223-7530. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Gross, Craig Viking can be contacted via phone (303) 875-5869.

Contact Information

Primary practice address
615 Chimborazo Blvd Richmond VA 23223-7530
Phone: (303) 875-5869
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1669798658
LBN Legal business name Gross, Craig Viking
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2010
Last updated Apr 15th, 2010 - about 16 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 1669798658 NPPES
Virginia MEDICAID 0157485415

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