Gross, Shannon

Gross, Shannon is an individual health care provider with primary practice located at 2900 Conner St , Detroit MI 48215-2407. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Gross, Shannon can be contacted via phone (313) 824-5623.

Contact Information

Primary practice address
2900 Conner St Detroit MI 48215-2407
Phone: (313) 824-5623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1801294616
LBN Legal business name Gross, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2014
Last updated Dec 10th, 2014 - about 12 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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