Gross, Rachael E
Gross, Rachael E is an sole proprietor health care provider with primary practice located at 970 Holly St , Orangeburg SC 29115-4930. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gross, Rachael E can be contacted via phone (803) 531-2722.Contact Information
Primary practice address
970 Holly St
Orangeburg SC 29115-4930
Phone: (803) 531-2722
Fax: (803) 531-2743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 646 | South Carolina |
Profile Details
| NPI number | 1467438853 |
|---|---|
| LBN Legal business name | Gross, Rachael E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Feb 10th, 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 | 1467438853 | NPPES |
| South Carolina | MEDICAID | T00617 |
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