Grotz, Richard L

Grotz, Richard L is an individual health care provider with primary practice located at 1 Pearl St Suite 2700, Brockton MA 02301-2864. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grotz, Richard L can be contacted via phone (508) 584-4104.

Contact Information

Primary practice address
1 Pearl St Suite 2700 Brockton MA 02301-2864
Phone: (508) 584-4104
Fax: (508) 584-4105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 77137 Massachusetts

Profile Details

NPI number 1801865662
LBN Legal business name Grotz, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Aug 15th, 2016 - about 10 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 1801865662 NPPES
Massachusetts Other P00092280 RR MEDICARE
Massachusetts Other 14-00003 RR MEDICARE
Massachusetts Other 300852540 RR MEDICARE
Massachusetts Other 0013819 RR MEDICARE
Massachusetts Other 29256 RR MEDICARE
Massachusetts MEDICAID 3109950 RR MEDICARE
Massachusetts Other 77137 RR MEDICARE
Massachusetts Other GRJ13652 RR MEDICARE
Massachusetts Other 454450 RR MEDICARE

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