Groos, Jennifer A

Groos, Jennifer A is an individual health care provider with primary practice located at 1212 Pleasant St Suite 300, Des Moines IA 50309-1453. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Groos, Jennifer A can be contacted via phone (515) 241-8923.

Contact Information

Primary practice address
1212 Pleasant St Suite 300 Des Moines IA 50309-1453
Phone: (515) 241-8923
Fax: (515) 241-8728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35505 Iowa

Profile Details

NPI number 1598747321
LBN Legal business name Groos, Jennifer A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jul 20th, 2020 - about 4 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 1598747321 NPPES
Missouri MEDICAID 209917905
Missouri MEDICAID 1598747321
Missouri Other 175150018
Missouri MEDICAID 9263738

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