Gromada, Jan C

Gromada, Jan C is an individual health care provider with primary practice located at 420 Lake Nepessing Rd , Lapeer MI 48446-2961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gromada, Jan C can be contacted via phone (810) 245-9011.

Contact Information

Primary practice address
420 Lake Nepessing Rd Lapeer MI 48446-2961
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X JG006098 Michigan

Profile Details

NPI number 1841212701
LBN Legal business name Gromada, Jan C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Dec 10th, 2012 - 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 1841212701 NPPES
Michigan MEDICAID 114737651
Michigan Other 114901620
Michigan Other 141205
Michigan Other 1015855
Michigan Other 1G00026
Michigan Other C1522
Michigan Other 1654410124

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