Grome, Regina D

Grome, Regina D is an individual health care provider with primary practice located at 143 Peyton Street , Barboursville WV 25504. 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. Grome, Regina D can be contacted via phone (304) 697-2035.

Contact Information

Primary practice address
143 Peyton Street Barboursville WV 25504
Phone: (304) 697-2035
Fax: (304) 523-1485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00291 West Virginia

Profile Details

NPI number 1891769485
LBN Legal business name Grome, Regina D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 9th, 2018 - about 8 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 1891769485 NPPES
West Virginia MEDICAID 3810000471
West Virginia Other 001719144
West Virginia Other 110117516

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