Gross, John D
Gross, John D is an sole proprietor health care provider with primary practice located at 613 Long Point Rd Suite 201, Mt Pleasant SC 29464-8350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gross, John D can be contacted via phone (843) 724-3456.Contact Information
Primary practice address
613 Long Point Rd Suite 201
Mt Pleasant SC 29464-8350
Phone: (843) 724-3456
Fax: (843) 724-3455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | NC200201921 | North Carolina |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 29610 | South Carolina |
Profile Details
| NPI number | 1710995543 |
|---|---|
| LBN Legal business name | Gross, John D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | May 4th, 2021 - about 5 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 | 1710995543 | NPPES |
| South Carolina | MEDICAID | Q0098F |
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