Gross, Dale
Gross, Dale is an individual health care provider with primary practice located at Providence Anchorage Anesthesia Medical Group, P.C. 3300 Providence Dr., Suite 207, Anchorage AK 99508-4619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gross, Dale can be contacted via phone (907) 561-0005.Contact Information
Primary practice address
Providence Anchorage Anesthesia Medical Group, P.C. 3300 Providence Dr., Suite 207
Anchorage AK 99508-4619
Phone: (907) 561-0005
Fax: (907) 563-9140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4242 | Alaska |
Profile Details
| NPI number | 1568473031 |
|---|---|
| LBN Legal business name | Gross, Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568473031 | NPPES |
| Alaska | MEDICAID | 4242 |
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