Grome, Regina D
Grome, Regina D is an individual health care provider with primary practice located at 143 Peyton Street , Barboursville WV 25504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grome, Regina D can be contacted via phone (304) 697-2035.Contact Information
Primary practice address
143 Peyton Street
Barboursville WV 25504
Phone: (304) 697-2035
Fax: (304) 523-1485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 00291 | West Virginia |
Profile Details
| NPI number | 1891769485 |
|---|---|
| LBN Legal business name | Grome, Regina D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Apr 9th, 2018 - about 7 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 | 1891769485 | NPPES |
| West Virginia | MEDICAID | 3810000471 | |
| West Virginia | Other | 001719144 | |
| West Virginia | Other | 110117516 |
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