Grooms, Guy Eric

Grooms, Guy Eric is an sole proprietor health care provider with primary practice located at 267 N Canyon Dr , Gooding ID 83330-5500. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Grooms, Guy Eric can be contacted via phone (208) 934-8829.

Contact Information

Primary practice address
267 N Canyon Dr Gooding ID 83330-5500
Phone: (208) 934-8829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20183 Oklahoma
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X M-13759 Idaho

Profile Details

NPI number 1053316786
LBN Legal business name Grooms, Guy Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2005
Last updated Dec 28th, 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 1053316786 NPPES
Oklahoma MEDICAID 100213780A

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