Grobman, Marc David
Grobman, Marc David is an sole proprietor health care provider with primary practice located at 3411 Silverside Rd Weldin Building Suite 102, Wilmington DE 19810-4812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grobman, Marc David can be contacted via phone (302) 479-0580.Contact Information
Primary practice address
3411 Silverside Rd Weldin Building Suite 102
Wilmington DE 19810-4812
Phone: (302) 479-0580
Fax: (302) 479-0583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C2-0003657 | Delaware |
Profile Details
| NPI number | 1063484442 |
|---|---|
| LBN Legal business name | Grobman, Marc David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Dec 19th, 2011 - about 14 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 | 1063484442 | NPPES |
| Delaware | MEDICAID | 0000318803 | |
| Delaware | Other | 510334650 | |
| Delaware | Other | 08D0876971 | |
| Delaware | Other | 110044275 |
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