Groll, Jerome E
Groll, Jerome E is an individual health care provider with primary practice located at 34445 King Street Row , Lewes DE 19958-4787. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Groll, Jerome E can be contacted via phone (302) 645-2833.Contact Information
Primary practice address
34445 King Street Row
Lewes DE 19958-4787
Phone: (302) 645-2833
Fax: (978) 327-7891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C10002092 | Delaware |
Profile Details
| NPI number | 1891788519 |
|---|---|
| LBN Legal business name | Groll, Jerome E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2005 |
| Last updated | Dec 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891788519 | NPPES |
| Delaware | MEDICAID | 0000026301 |
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