Grove, Jason Charles

Grove, Jason Charles is an individual health care provider with primary practice located at 5115 Bernard Dr Suite 105, Roanoke VA 24018-4357. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Grove, Jason Charles can be contacted via phone (540) 728-1570.

Contact Information

Primary practice address
5115 Bernard Dr Suite 105 Roanoke VA 24018-4357
Phone: (540) 728-1570
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116019726 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0102202832 Virginia

Profile Details

NPI number 1982801288
LBN Legal business name Grove, Jason Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Feb 27th, 2024 - about last year

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 1982801288 NPPES
Virginia MEDICAID 1982801288

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