Gross, Michelle

Gross, Michelle is an sole proprietor health care provider with primary practice located at 258 3Rd St , Fort Lupton CO 80621-2010. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gross, Michelle can be contacted via phone (303) 857-6688.

Contact Information

Primary practice address
258 3Rd St Fort Lupton CO 80621-2010
Phone: (303) 857-6688
Fax: (303) 857-4156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 35 Colorado

Profile Details

NPI number 1568580504
LBN Legal business name Gross, Michelle
Credentials M.A., CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Oct 7th, 2009 - about 17 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 1568580504 NPPES
Colorado MEDICAID 07075260
Colorado Other 01007526

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