Grossman, Irwin
Grossman, Irwin is an individual health care provider with primary practice located at 5757 W Thunderbird Rd W-401, Glendale AZ 85306-4641. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Grossman, Irwin can be contacted via phone (602) 439-0475.Contact Information
Primary practice address
5757 W Thunderbird Rd W-401
Glendale AZ 85306-4641
Phone: (602) 439-0475
Fax: (602) 439-0106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1302 | Arizona |
Profile Details
| NPI number | 1205892056 |
|---|---|
| LBN Legal business name | Grossman, Irwin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 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 | 1205892056 | NPPES |
| Arizona | Other | AZ0621030 | BC/BS ID |
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