Grose, Bernard Dean
Grose, Bernard Dean is an individual health care provider with primary practice located at 12 Kanawha Ter , Saint Albans WV 25177-2750. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Grose, Bernard Dean can be contacted via phone (304) 201-1130.Contact Information
Primary practice address
12 Kanawha Ter
Saint Albans WV 25177-2750
Phone: (304) 201-1130
Fax: (304) 201-1134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 01522 | West Virginia |
Profile Details
| NPI number | 1790087187 |
|---|---|
| LBN Legal business name | Grose, Bernard Dean |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2010 |
| Last updated | Jul 24th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790087187 | NPPES |
| West Virginia | MEDICAID | 1790087187 | |
| West Virginia | Other | WV1245B | |
| West Virginia | MEDICAID | 3810019933 | |
| West Virginia | Other | WV1245C |
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