Groshart, Kenneth Dean
Groshart, Kenneth Dean is an individual health care provider with primary practice located at 7550 Wolf River Blvd Suite 200, Germantown TN 38138-1745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Groshart, Kenneth Dean can be contacted via phone (901) 542-6801.Contact Information
Primary practice address
7550 Wolf River Blvd Suite 200
Germantown TN 38138-1745
Phone: (901) 542-6801
Fax: (901) 542-6871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | MD0000008167 | Tennessee |
Profile Details
| NPI number | 1730119819 |
|---|---|
| LBN Legal business name | Groshart, Kenneth Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Dec 9th, 2008 - about 18 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 | 1730119819 | NPPES |
| Arkansas | Other | 96811 | BLUE CROSS |
| Arkansas | MEDICAID | 113592001 | BLUE CROSS |
| Arkansas | MEDICAID | 000000004191 | BLUE CROSS |
| Arkansas | MEDICAID | 3031615 | BLUE CROSS |
| Arkansas | MEDICAID | 3040566 | BLUE CROSS |
| Arkansas | MEDICAID | 0016392 | BLUE CROSS |
| Arkansas | MEDICAID | 202406807 | BLUE CROSS |
| Arkansas | Other | 3031615 | BLUE CROSS |
Popular Providers
-
Callihan, Thomas Ralph
7550 Wolf River Blvd Suite 200, Germantown TN 38138-1745 -
Chen, Yongxin
8000 Wolf River Blvd. Ste. 200, Germantown TN 38138 -
Onciu, Mihaela
3495 Hacks Cross Rd , Memphis TN 38125 -
Jenkins, Jesse J
262 Danny Thomas Pl Mail Stop 250, Memphis TN 38105-3678 -
Mamlok, Viviane
3601 4Th St 1A115, Lubbock TX 79430-0002 -
Spencer, Gene David
7550 Wolf River Blvd Suite 200, Germantown TN 38138-1745 -
Robins, David B
7945 Wolf River Blvd , Germantown TN 38138-1762 -
Behm, Frederick G.
840 S Wood St Department Of Pathology, Mc847, Chicago IL 60612-4325