Gross, David G.

Gross, David G. is an individual health care provider with primary practice located at 303 W 89Th Ave Suite E4, Merrillville IN 46410-6294. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gross, David G. can be contacted via phone (219) 769-8989.

Contact Information

Primary practice address
303 W 89Th Ave Suite E4 Merrillville IN 46410-6294
Phone: (219) 769-8989
Fax: (219) 756-6389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 02001570A Indiana

Profile Details

NPI number 1346373313
LBN Legal business name Gross, David G.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Mar 4th, 2021 - 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 1346373313 NPPES
Indiana MEDICAID 100475590
Indiana Other 000000092837

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