Gross, Timothy Clay
Gross, Timothy Clay is an individual health care provider with primary practice located at 309 W Main St , Cabot AR 72023-2911. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gross, Timothy Clay can be contacted via phone (501) 941-3008.Contact Information
Primary practice address
309 W Main St
Cabot AR 72023-2911
Phone: (501) 941-3008
Fax: (501) 941-3007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1674 | Arkansas |
Profile Details
| NPI number | 1831150283 |
|---|---|
| LBN Legal business name | Gross, Timothy Clay |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1831150283 | NPPES |
| Arkansas | Other | 06060023300 | QUAL CHOICE |
| Arkansas | Other | 5032683 | QUAL CHOICE |
| Arkansas | Other | 7172792 | QUAL CHOICE |
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