Grossman, Jeanne Therese
Grossman, Jeanne Therese is an individual health care provider with primary practice located at 1263 Hospital Dr Nw Ste 250 , Corydon IN 47112-2176. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grossman, Jeanne Therese can be contacted via phone (812) 738-8136.Contact Information
Primary practice address
1263 Hospital Dr Nw Ste 250
Corydon IN 47112-2176
Phone: (812) 738-8136
Fax: (812) 738-3155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01049002A | Indiana |
Profile Details
| NPI number | 1720076078 |
|---|---|
| LBN Legal business name | Grossman, Jeanne Therese |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Aug 6th, 2010 - about 16 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 | 1720076078 | NPPES |
| Indiana | Other | P00202390 | RR MEDICARE |
| Indiana | MEDICAID | 200239440 | RR MEDICARE |
| Indiana | Other | 000000335249 | RR MEDICARE |
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