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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629113014 NPPES
Washington Other 232970 LABOR & INDUSTRIES
Washington MEDICAID 8111676 LABOR & INDUSTRIES

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