Groen, Amy Marie
Groen, Amy Marie is an individual health care provider with primary practice located at 1200 Pleasant St , Des Moines IA 50309-1406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Groen, Amy Marie can be contacted via phone (515) 241-6611.Contact Information
Primary practice address
1200 Pleasant St
Des Moines IA 50309-1406
Phone: (515) 241-6611
Fax: (515) 241-6635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | DO-03753 | Iowa |
Profile Details
| NPI number | 1821078940 |
|---|---|
| LBN Legal business name | Groen, Amy Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Sep 30th, 2016 - about 10 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 | 1821078940 | NPPES |
| Iowa | MEDICAID | 1821078940 | |
| Iowa | MEDICAID | 100264995-00 | |
| Iowa | MEDICAID | 1821078940 |
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