Groesch, David

Groesch, David is an individual health care provider with primary practice located at 4000 Westgate Dr , Springfield IL 62711-7066. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Groesch, David can be contacted via phone (217) 726-6101.

Contact Information

Primary practice address
4000 Westgate Dr Springfield IL 62711-7066
Phone: (217) 726-6101
Fax: (217) 546-4659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147-000273 Illinois

Profile Details

NPI number 1730149196
LBN Legal business name Groesch, David
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Oct 21st, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730149196 NPPES
Illinois Other 7313366 AETNA INS. PROV. NO.
Illinois Other 8422416 AETNA INS. PROV. NO.

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