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:
Health care specialties
Specialty | Code | License # | 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 18 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 | 1821180274 | NPPES |
Michigan | MEDICAID | 4635769 |
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