Baxley, Grover
Baxley, Grover is an individual health care provider with primary practice located at 433 W Main St , Hyannis MA 02601-3644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Baxley, Grover can be contacted via phone (508) 778-4777.Contact Information
Primary practice address
433 W Main St
Hyannis MA 02601-3644
Phone: (508) 778-4777
Fax: (508) 771-9555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 40570 | Massachusetts |
Profile Details
| NPI number | 1912961707 |
|---|---|
| LBN Legal business name | Baxley, Grover |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Oct 13th, 2015 - about 9 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 | 1912961707 | NPPES |
| Other | 6566 | HARVARD PILGRIM | |
| Other | 703644 | HARVARD PILGRIM | |
| MEDICAID | 2070162 | HARVARD PILGRIM |
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