Groft, Andrea K

Groft, Andrea K is an individual health care provider with primary practice located at 489 State St Emmc, Emerg. Medicine, Bangor ME 04401-6616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Groft, Andrea K can be contacted via phone (207) 973-7250.

Contact Information

Primary practice address
489 State St Emmc, Emerg. Medicine Bangor ME 04401-6616
Phone: (207) 973-7250
Fax: (207) 973-5656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA445 Maine

Profile Details

NPI number 1720195134
LBN Legal business name Groft, Andrea K
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated May 13th, 2021 - about 5 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 1720195134 NPPES
Other 1029057 NCCPA CERTIFICATE NUMBER

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