Grossnickle, Bruce P
Grossnickle, Bruce P is an individual health care provider with primary practice located at 2251 Dubois Dr , Warsaw IN 46580-3212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Grossnickle, Bruce P can be contacted via phone (574) 269-2777.Contact Information
Primary practice address
2251 Dubois Dr
Warsaw IN 46580-3212
Phone: (574) 269-2777
Fax: (574) 371-4697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 01031752A | Indiana |
Profile Details
| NPI number | 1518960921 |
|---|---|
| LBN Legal business name | Grossnickle, Bruce P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | May 5th, 2016 - about 10 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 | 1518960921 | NPPES |
| Indiana | MEDICAID | 100324570 |
Popular Providers
-
Nizam, Abdul R,
630 N Morley St Ste 101, Moberly MO 65270-2556 -
Kilgore, Kenneth Merle
2943 Highway 62 W , Mountain Home AR 72653-6535 -
Patel, Rachna Dinubhai
17 N Medical Park Dr , Fishersville VA 22939-2344 -
Ryser, David F
2251 Dubois Dr , Warsaw IN 46580-3212 -
Armesto, David M
2025 Technology Pkwy Ste 103, Mechanicsburg PA 17050-9400 -
De Sabra, Ximena
5656 Bee Cave Rd Suite F 200, West Lake Hills TX 78746-5280 -
Gillespie, James Earnest
425 S Linden Ave , Waynesboro VA 22980-3505 -
Morgan, Brian Dale
14701 N Santa Fe Ave , Edmond OK 73013-3411