Groten, David L.

Groten, David L. is an individual health care provider with primary practice located at 608 New Hope Rd Ste 7 , Princeton WV 24740-2287. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Groten, David L. can be contacted via phone (304) 487-1076.

Contact Information

Primary practice address
608 New Hope Rd Ste 7 Princeton WV 24740-2287
Phone: (304) 487-1076
Fax: (304) 425-9499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 19839 West Virginia

Profile Details

NPI number 1932108180
LBN Legal business name Groten, David L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Sep 20th, 2013 - about 13 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 1932108180 NPPES
West Virginia MEDICAID 7200503000

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