Groh, Carla J

Groh, Carla J is an individual health care provider with primary practice located at 5555 Conner Suite 2691, Detroit MI 48213. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Groh, Carla J can be contacted via phone (313) 579-1182.

Contact Information

Primary practice address
5555 Conner Suite 2691 Detroit MI 48213
Phone: (313) 579-1182
Fax: (313) 579-5128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704098802 Michigan

Profile Details

NPI number 1821180274
LBN Legal business name Groh, Carla J
Credentials PHD APRN BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1821180274 NPPES
Michigan MEDICAID 4635769

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