Grossman, Jonathan Taylor

Grossman, Jonathan Taylor is an individual health care provider with primary practice located at 11104 Parkview Circle Dr Ste 110 , Fort Wayne IN 46845-1673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Grossman, Jonathan Taylor can be contacted via phone (260) 425-6780.

Contact Information

Primary practice address
11104 Parkview Circle Dr Ste 110 Fort Wayne IN 46845-1673
Phone: (260) 425-6780
Fax: (260) 425-6615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 02008130A Indiana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DO2026-0116 New Mexico

Profile Details

NPI number 1093210114
LBN Legal business name Grossman, Jonathan Taylor
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2018
Last updated Jul 21st, 2026 - about 4 months 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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