Groman, George S
Groman, George S is an individual health care provider with primary practice located at 10710 Charter Dr Suite 400, Columbia MD 21044-2858. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Groman, George S can be contacted via phone (410) 997-7979.Contact Information
Primary practice address
10710 Charter Dr Suite 400
Columbia MD 21044-2858
Phone: (410) 997-7979
Fax: (410) 997-9231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D34385 | Maryland |
Profile Details
| NPI number | 1255308201 |
|---|---|
| LBN Legal business name | Groman, George S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Feb 13th, 2013 - about 11 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 | 1255308201 | NPPES |
| Maryland | Other | V879-0002 | CAREFIRST GHMSI AND BLUE CHOICE |
| Maryland | MEDICAID | 277511500 | CAREFIRST GHMSI AND BLUE CHOICE |
| Maryland | Other | 0061936 | CAREFIRST GHMSI AND BLUE CHOICE |
| Maryland | Other | 414605-05 | CAREFIRST GHMSI AND BLUE CHOICE |
| Maryland | Other | P00908346 | CAREFIRST GHMSI AND BLUE CHOICE |
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