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:
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Health care specialties

SpecialtyCodeLicense #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 8 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 1891788519 NPPES
Delaware MEDICAID 0000026301

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