Grossman, Mallory A
Grossman, Mallory A is an individual health care provider with primary practice located at 2024 Dorchester Ct Ste 1 , Goshen IN 46526-6546. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grossman, Mallory A can be contacted via phone (574) 537-8326.Contact Information
Primary practice address
2024 Dorchester Ct Ste 1
Goshen IN 46526-6546
Phone: (574) 537-8326
Fax: (574) 534-1034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71005825A | Indiana |
Profile Details
| NPI number | 1982082293 |
|---|---|
| LBN Legal business name | Grossman, Mallory A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2015 |
| Last updated | Mar 18th, 2024 - about 2 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.
Popular Providers
-
Miller, Arin
1811 Charlton Ct , Goshen IN 46526-6464 -
Martin, Emily
410 S Main St , Goshen IN 46526-3947 -
Ralston, Nickie
1855 S Main St Ste A, Goshen IN 46526-4852 -
Miller Good, Michelle Joy
808 N 3Rd St , Goshen IN 46528-7100 -
Detwiler, Jamie Marie
1852 Ashburn Dr , Goshen IN 46526-6537 -
Love, Anne
1814 Charlton Ct Ste A , Goshen IN 46526-6463 -
Stamp, Billie
410 S Main St , Goshen IN 46526-3947 -
Setiawan, Susan Miller
213 Middlebury St , Goshen IN 46528-2956