Grochmal, Jay C

Grochmal, Jay C is an individual health care provider with primary practice located at 405 Frederick Rd Suite 102, Catonsville MD 21228-4645. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Grochmal, Jay C can be contacted via phone (410) 744-5310.

Contact Information

Primary practice address
405 Frederick Rd Suite 102 Catonsville MD 21228-4645
Phone: (410) 744-5310
Fax: (410) 744-7924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D16000 Maryland

Profile Details

NPI number 1114914496
LBN Legal business name Grochmal, Jay C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Sep 28th, 2012 - about 14 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 1114914496 NPPES
Maryland MEDICAID 968611801

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