Groening, David A

Groening, David A is an sole proprietor health care provider with primary practice located at 3 Crest Rd , Saint Albans VT 05478-9753. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Groening, David A can be contacted via phone (802) 524-8985.

Contact Information

Primary practice address
3 Crest Rd Saint Albans VT 05478-9753
Phone: (802) 524-8985
Fax: (802) 527-0977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 056-0000124 Vermont

Profile Details

NPI number 1962400267
LBN Legal business name Groening, David A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Oct 28th, 2016 - about 10 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 1962400267 NPPES
Vermont MEDICAID 0009242
Vermont Other 54V001
Vermont Other 8318
Vermont Other 480006391

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