Ross, Gerald J

Ross, Gerald J is an sole proprietor health care provider with primary practice located at 100 Fairfield Dr , Seneca PA 16346-2130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ross, Gerald J can be contacted via phone (814) 676-7957.

Contact Information

Primary practice address
100 Fairfield Dr Seneca PA 16346-2130
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD039723E Pennsylvania

Profile Details

NPI number 1962499178
LBN Legal business name Ross, Gerald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2005
Last updated Feb 14th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962499178 NPPES
Pennsylvania Other R0614712 HIGHMARK
Pennsylvania MEDICAID 0012074460011 HIGHMARK

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