Grossell, Michael James

Grossell, Michael James is an sole proprietor health care provider with primary practice located at 305 W College Ave Suite A, Shelby NC 28152-8111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Grossell, Michael James can be contacted via phone (704) 434-9686.

Contact Information

Primary practice address
305 W College Ave Suite A Shelby NC 28152-8111
Fax: (704) 434-9618
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9501262 North Carolina

Profile Details

NPI number 1730167883
LBN Legal business name Grossell, Michael James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2006
Last updated Feb 9th, 2015 - about 11 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 1730167883 NPPES
North Carolina Other 1007P BCBS IND
North Carolina MEDICAID 891007P BCBS IND

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