Grogan, Edwin L.

Grogan, Edwin L. is an individual health care provider with primary practice located at 1532 Lone Oak Rd Suite 235, Paducah KY 42003-7913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grogan, Edwin L. can be contacted via phone (270) 442-9463.

Contact Information

Primary practice address
1532 Lone Oak Rd Suite 235 Paducah KY 42003-7913
Phone: (270) 442-9463
Fax: (270) 442-2241
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20054 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 036093089 Illinois

Profile Details

NPI number 1750378022
LBN Legal business name Grogan, Edwin L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Mar 6th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750378022 NPPES
Kentucky Other P00976650 RAIL ROAD MEDICARE
Kentucky MEDICAID 04705710211 RAIL ROAD MEDICARE
Kentucky MEDICAID 64200546 RAIL ROAD MEDICARE

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