Gross, Michael Leslie
Gross, Michael Leslie is an sole proprietor health care provider with primary practice located at 828 Healthy Way Suite 300, Virginia Beach VA 23462-7958. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gross, Michael Leslie can be contacted via phone (757) 965-6165.Contact Information
Primary practice address
828 Healthy Way Suite 300
Virginia Beach VA 23462-7958
Phone: (757) 965-6165
Fax: (757) 965-6296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101052313 | Virginia |
Profile Details
| NPI number | 1932105285 |
|---|---|
| LBN Legal business name | Gross, Michael Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | May 23rd, 2012 - about 14 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 | 1932105285 | NPPES |
| Virginia | MEDICAID | 5900379 | |
| Virginia | Other | 77060 | |
| Virginia | Other | 075428 | |
| Virginia | Other | 890625A | |
| Virginia | Other | 070008396 |
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