Groth, Gregory D

Groth, Gregory D is an individual health care provider with primary practice located at 100 College Pkwy Suite 220, Williamsville NY 14221-6800. 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. Groth, Gregory D can be contacted via phone (716) 626-9900.

Contact Information

Primary practice address
100 College Pkwy Suite 220 Williamsville NY 14221-6800
Phone: (716) 626-9900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005566 New York

Profile Details

NPI number 1124072855
LBN Legal business name Groth, Gregory D
Credentials RPAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Apr 2nd, 2009 - about 17 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 1124072855 NPPES
New York Other 005566 LICENSE

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