Gronbach, Kort M

Gronbach, Kort M is an sole proprietor health care provider with primary practice located at 568 S Cleveland Ave Suite B, Westerville OH 43081-8959. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gronbach, Kort M can be contacted via phone (614) 895-3344.

Contact Information

Primary practice address
568 S Cleveland Ave Suite B Westerville OH 43081-8959
Phone: (614) 895-3344
Fax: (614) 895-3344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35086736 Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 35.086736 Ohio
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 35086736 Ohio

Profile Details

NPI number 1336191170
LBN Legal business name Gronbach, Kort M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Nov 2nd, 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 1336191170 NPPES
Ohio MEDICAID 2653285

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