Ross, Nathaniel T
Ross, Nathaniel T is an sole proprietor health care provider with primary practice located at 1619 W 5Th Ave , Gary IN 46404-1506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ross, Nathaniel T can be contacted via phone (219) 886-4788.Contact Information
Primary practice address
1619 W 5Th Ave
Gary IN 46404-1506
Phone: (219) 886-4788
Fax: (219) 886-4106
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01052287 | Indiana |
Profile Details
| NPI number | 1417942707 |
|---|---|
| LBN Legal business name | Ross, Nathaniel T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Apr 8th, 2025 - about last year |
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 | 1417942707 | NPPES |
| Georgia | Other | 080179270 | MEDICARE RAILROAD |
| Georgia | MEDICAID | 200353510A | MEDICARE RAILROAD |
Popular Providers
-
Anderson, Tynese Simone
1021 W 5Th Ave , Gary IN 46402-1703 -
Bautista, Teofilo S
642 S Lake St , Gary IN 46403-2967 -
Seabrook, Janet
1021 W 5Th Ave , Gary IN 46402-1703 -
Arora, Simran K.
4900 Broadway , Gary IN 46408-4605 -
Okolocha, Paul Chike
2054 Grant St , Gary IN 46404-3060 -
Browning, Gerri C
4900 Broadway , Gary IN 46408-4605 -
Richardson, Melvin D
1021 W 5Th Ave , Gary IN 46402-1703 -
Shank, John Stephen
350 Fairview Heights Rd , Summersville WV 26651