Grooms, Douglas

Grooms, Douglas is an sole proprietor health care provider with primary practice located at 205 W Crawford St , Van Wert OH 45891-1903. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Grooms, Douglas can be contacted via phone (419) 238-2180.

Contact Information

Primary practice address
205 W Crawford St Van Wert OH 45891-1903
Phone: (419) 238-2180
Fax: (419) 238-0526
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X BG1022240 Ohio

Profile Details

NPI number 1093116527
LBN Legal business name Grooms, Douglas
Credentials NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2014
Last updated Sep 16th, 2014 - 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.

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