Groesbeck, David
Groesbeck, David is an individual health care provider with primary practice located at 1034 North 500 West Utah Valley Regional Medical Center, Provo UT 84604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Groesbeck, David can be contacted via phone (801) 507-5248.Contact Information
Primary practice address
1034 North 500 West Utah Valley Regional Medical Center
Provo UT 84604
Phone: (801) 507-5248
Fax: (801) 733-5618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 79-163995-1205 | Utah |
Profile Details
| NPI number | 1043305865 |
|---|---|
| LBN Legal business name | Groesbeck, David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Oct 16th, 2012 - about 12 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 | 1043305865 | NPPES |
| Utah | Other | 107006655101 | IHC |
| Utah | Other | 20019 | IHC |
| Utah | Other | QM0000075886 | IHC |
| Utah | Other | 53238 | IHC |
| Utah | MEDICAID | 825234 | IHC |
| Utah | MEDICAID | 002085126 | IHC |
| Utah | Other | 1502954 | IHC |
| Utah | MEDICAID | 003703500 | IHC |
| Utah | Other | 2090168 | IHC |
| Utah | Other | 8597445 | IHC |
| Utah | Other | 870545614GR1 | IHC |
| Utah | MEDICAID | 118955700 | IHC |
| Utah | Other | 37786 | IHC |
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