Grogg, Terry W.

Grogg, Terry W. is an individual health care provider with primary practice located at 335 Glessner Ave Fl 2 , Mansfield OH 44903-2269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Grogg, Terry W. can be contacted via phone (567) 241-7055.

Contact Information

Primary practice address
335 Glessner Ave Fl 2 Mansfield OH 44903-2269
Phone: (567) 241-7055
Fax: (567) 241-7565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35058955 Ohio

Profile Details

NPI number 1023019775
LBN Legal business name Grogg, Terry W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jan 5th, 2022 - about 4 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 1023019775 NPPES
Ohio MEDICAID 0818717

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