Ross, Gary Michael
Ross, Gary Michael is an sole proprietor health care provider with primary practice located at 401 S Main St , Brewer ME 04412-2322. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Ross, Gary Michael can be contacted via phone (207) 989-5588.Contact Information
Primary practice address
401 S Main St
Brewer ME 04412-2322
Phone: (207) 989-5588
Fax: (207) 989-1599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME1127 | Maine |
Profile Details
| NPI number | 1639130099 |
|---|---|
| LBN Legal business name | Ross, Gary Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 3rd, 2013 - about 13 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 | 1639130099 | NPPES |
| Maine | MEDICAID | 297030099 |
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