Groshong, Aric A
Groshong, Aric A is an individual health care provider with primary practice located at 2700 Nw Stewart Pkwy , Roseburg OR 97471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Groshong, Aric A can be contacted via phone (541) 677-4319.Contact Information
Primary practice address
2700 Nw Stewart Pkwy
Roseburg OR 97471
Phone: (541) 677-4319
Fax: (541) 677-2294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD18272 | Oregon |
Profile Details
| NPI number | 1619078110 |
|---|---|
| LBN Legal business name | Groshong, Aric A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Aug 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619078110 | NPPES |
| Oregon | MEDICAID | 073341 |
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