Grobler, Nicolaas Martin
Grobler, Nicolaas Martin is an individual health care provider with primary practice located at 350 S Euclid Ave Ste C , Upland CA 91786-6665. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Grobler, Nicolaas Martin can be contacted via phone (909) 591-6575.Contact Information
Primary practice address
350 S Euclid Ave Ste C
Upland CA 91786-6665
Phone: (909) 591-6575
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A89047 | California |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | A89047 | California |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A89047 | California |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | A89047 | California |
Profile Details
NPI number | 1720154255 |
---|---|
LBN Legal business name | Grobler, Nicolaas Martin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 27th, 2006 |
Last updated | Nov 16th, 2021 - about 3 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 | 1720154255 | NPPES |
California | MEDICAID | 00A890470 |
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