Groman, Darrell Eugene
Groman, Darrell Eugene is an sole proprietor health care provider with primary practice located at 204 Hilty Dr. , Pandora OH 45877-0209. He recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as his primary health care specialty. Groman, Darrell Eugene can be contacted via phone (419) 384-3275.Contact Information
Primary practice address
204 Hilty Dr.
Pandora OH 45877-0209
Phone: (419) 384-3275
Fax: (419) 384-3285
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 3800/794 | Ohio |
Profile Details
NPI number | 1528031564 |
---|---|
LBN Legal business name | Groman, Darrell Eugene |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 9th, 2006 |
Last updated | Mar 5th, 2019 - about 5 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 | 1528031564 | NPPES |
Ohio | MEDICAID | 0597420 |
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