Groff, Katie Marie
Groff, Katie Marie is an individual health care provider with primary practice located at 6678 W Thunderbird Rd , Glendale AZ 85306-3721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Groff, Katie Marie can be contacted via phone (029) 781-5006.Contact Information
Primary practice address
6678 W Thunderbird Rd
Glendale AZ 85306-3721
Phone: (029) 781-5006
Fax: (602) 978-0409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 009715 | Arizona |
Profile Details
| NPI number | 1124515028 |
|---|---|
| LBN Legal business name | Groff, Katie Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2018 |
| Last updated | Apr 9th, 2024 - about 8 months 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 | 1124515028 | NPPES |
| Arizona | MEDICAID | 164275 |
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