Grooms, Amy Dawn

Grooms, Amy Dawn is an individual health care provider with primary practice located at 10593 Long John Silver Trl , Hillsboro OH 45133-7302. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Grooms, Amy Dawn can be contacted via phone (937) 205-9774.

Contact Information

Primary practice address
10593 Long John Silver Trl Hillsboro OH 45133-7302
Phone: (937) 205-9774
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 402115641018 Ohio

Profile Details

NPI number 1508583329
LBN Legal business name Grooms, Amy Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2022
Last updated Oct 24th, 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 1508583329 NPPES
Ohio MEDICAID 71968750

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