Gross, Jared

Gross, Jared is an sole proprietor health care provider with primary practice located at 101 Mosaic Ct Ste 200 , Saint Joseph MO 64506-0015. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gross, Jared can be contacted via phone (816) 271-4022.

Contact Information

Primary practice address
101 Mosaic Ct Ste 200 Saint Joseph MO 64506-0015
Phone: (816) 271-4022
Fax: (816) 271-4020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2022029081 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7126 Oklahoma

Profile Details

NPI number 1376006890
LBN Legal business name Gross, Jared
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2019
Last updated Apr 6th, 2026 - about 6 months 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 1376006890 NPPES
Missouri MEDICAID 200113068
Missouri MEDICAID 30004832220001

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