Groom, David

Groom, David is an individual health care provider with primary practice located at 8568 Del Webb Blvd , Las Vegas NV 89134. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Groom, David can be contacted via phone (702) 557-1203.

Contact Information

Primary practice address
8568 Del Webb Blvd Las Vegas NV 89134
Phone: (702) 557-1203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HAS-P-1010102 Oregon

Profile Details

NPI number 1427188242
LBN Legal business name Groom, David
Credentials BC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Nov 20th, 2015 - about 10 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 1427188242 NPPES
Oregon MEDICAID 212936
Oregon Other 2432417000

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