Tussey, Grover Mark
Tussey, Grover Mark is an sole proprietor health care provider with primary practice located at 107 Diagnostic Dr , Frankfort KY 40601-6524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tussey, Grover Mark can be contacted via phone (502) 875-9885.Contact Information
Primary practice address
107 Diagnostic Dr
Frankfort KY 40601-6524
Phone: (502) 875-9885
Fax: (502) 875-9882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 37602 | Kentucky |
Profile Details
| NPI number | 1780697037 |
|---|---|
| LBN Legal business name | Tussey, Grover Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Sep 23rd, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780697037 | NPPES |
| Kentucky | MEDICAID | 64057623 |
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