Gruich, Mitchell J
Gruich, Mitchell J is an sole proprietor health care provider with primary practice located at 2356 Pass Rd Suite 300, Biloxi MS 39531-2236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gruich, Mitchell J can be contacted via phone (228) 385-1711.Contact Information
Primary practice address
2356 Pass Rd Suite 300
Biloxi MS 39531-2236
Phone: (228) 385-1711
Fax: (228) 385-3333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 13525 | Mississippi |
Profile Details
| NPI number | 1154431351 |
|---|---|
| LBN Legal business name | Gruich, Mitchell J |
| Credentials | M.D., F.A.A.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1154431351 | NPPES |
| Mississippi | MEDICAID | 00115028 |
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