GSB Enterprise LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

6570 Issued in NC

Legal business name

GSB ENTERPRISE LLC

Practice address

733 W Johnson St
Raleigh, NC 27603-1259

Phone

(919) 940-1785

NPI assigned

Feb 25, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Graham, HAIR LOSS SPECIALIST

Title

Owner/Operator

Phone

(919) 940-1785

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519516800000",
    "number": "1760983787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 SHINGLEBACK DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876554",
            "telephone_number": "919-940-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 W JOHNSON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031259",
            "telephone_number": "919-940-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSB ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-25",
        "last_updated": "2018-02-25",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "919-940-1785",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HAIR LOSS SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NC",
            "license": "6570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Lynn Gruebel, M.D.
• Erin O'Connor Grupp, LCSW, LCAS
• Brooke E Gruschow
• Hailey Lynn Gryske, MS, BCBA
• Nicole Gryzik, AU.D.
• Gerardo Guadarrama Jr., OD
• Lawrence Guan, MD
• Guardian Angel Home Care, Inc
• Guardian Angel Home Care, Inc
• Guardian Care Solutions LLC

• Prosthetics Case Management in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Prosthetics Case Management in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.