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Contact Information

GREGORY ROSS
677A EAST MAIN
CENTREVILLE, MI49032
 Phone: 269-467-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GREGORY ROSS · (Male)

NPI # 1730175498
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2005
Last updated 07/17/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 6301007976
  • MI Medicaid 1708146
  • MI Other P106510150 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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