Grossman, Samuel L
Grossman, Samuel L is an individual health care provider with primary practice located at 181 W Emmett St , Battle Creek MI 49037-2963. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Grossman, Samuel L can be contacted via phone (269) 966-2600.Contact Information
Primary practice address
181 W Emmett St
Battle Creek MI 49037-2963
Phone: (269) 966-2600
Fax: (269) 965-4773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5101010868 | Michigan |
Profile Details
| NPI number | 1972565513 |
|---|---|
| LBN Legal business name | Grossman, Samuel L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Dec 6th, 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 | 1972565513 | NPPES |
| Michigan | MEDICAID | 4461230 | |
| Michigan | MEDICAID | 3368240 |
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