Grooms, Shanda
Grooms, Shanda is an individual health care provider with primary practice located at 520 S Eagle Rd Ste 3102, Meridian ID 83642-6351. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Grooms, Shanda can be contacted via phone (208) 706-5100.Contact Information
Primary practice address
520 S Eagle Rd Ste 3102
Meridian ID 83642-6351
Phone: (208) 706-5100
Fax: (208) 706-5169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M8196 | Idaho |
Profile Details
| NPI number | 1750330080 |
|---|---|
| LBN Legal business name | Grooms, Shanda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Feb 23rd, 2011 - about 15 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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