Grossman, David C
Grossman, David C is an individual health care provider with primary practice located at 13451 Se 36Th St , Bellevue WA 98006-1475. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Grossman, David C can be contacted via phone (425) 562-1337.Contact Information
Primary practice address
13451 Se 36Th St
Bellevue WA 98006-1475
Phone: (425) 562-1337
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | MD00025655 | Washington |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00025655 | Washington |
Profile Details
| NPI number | 1629113014 |
|---|---|
| LBN Legal business name | Grossman, David C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Apr 8th, 2021 - about 4 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 | 1629113014 | NPPES |
| Washington | Other | 232970 | LABOR & INDUSTRIES |
| Washington | MEDICAID | 8111676 | LABOR & INDUSTRIES |
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