Groom, Jed A
Groom, Jed A is an sole proprietor health care provider with primary practice located at 64-1066 Mamalahoa Hwy Unit B , Kamuela HI 96743-7309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Groom, Jed A can be contacted via phone (808) 885-6006.Contact Information
Primary practice address
64-1066 Mamalahoa Hwy Unit B
Kamuela HI 96743-7309
Phone: (808) 885-6006
Fax: (808) 885-0906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD4251 | Hawaii |
Profile Details
| NPI number | 1033394838 |
|---|---|
| LBN Legal business name | Groom, Jed A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 31st, 2007 |
| Last updated | Dec 31st, 2007 - about 17 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 | 1033394838 | NPPES |
| Hawaii | MEDICAID | 00376101 |
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