Grome, David L

Grome, David L is an individual health care provider with primary practice located at 560 South Loop Rd , Edgewood KY 41017-5102. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Grome, David L can be contacted via phone (859) 301-5600.

Contact Information

Primary practice address
560 South Loop Rd Edgewood KY 41017-5102
Phone: (859) 301-5600
Fax: (859) 341-5669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X R0475 Kentucky

Profile Details

NPI number 1316937287
LBN Legal business name Grome, David L
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Apr 29th, 2008 - about 18 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 1316937287 NPPES
Kentucky MEDICAID 8800042700

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