Grover, Amy C.

Grover, Amy C. is an individual health care provider with primary practice located at 3045 S National Ave Ste 110 , Springfield MO 65804-4247. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grover, Amy C. can be contacted via phone (417) 820-8991.

Contact Information

Primary practice address
3045 S National Ave Ste 110 Springfield MO 65804-4247
Phone: (417) 820-8991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2015035605 Missouri

Profile Details

NPI number 1578934147
LBN Legal business name Grover, Amy C.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2015
Last updated Oct 28th, 2021 - about 5 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 1578934147 NPPES
Missouri MEDICAID 1578934147

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