Gross, Elizabeth A

Gross, Elizabeth A is an sole proprietor health care provider with primary practice located at 1948 Godfrey Dr , Waupaca WI 54981-7908. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gross, Elizabeth A can be contacted via phone (715) 258-7778.

Contact Information

Primary practice address
1948 Godfrey Dr Waupaca WI 54981-7908
Phone: (715) 258-7778
Fax: (715) 258-7773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 12023-24 Wisconsin

Profile Details

NPI number 1679820716
LBN Legal business name Gross, Elizabeth A
Credentials DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2012
Last updated Oct 11th, 2018 - about 8 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 1679820716 NPPES
Wisconsin MEDICAID 1679820716
Wisconsin Other 12023-24

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