Grose, Richard A

Grose, Richard A is an individual health care provider with primary practice located at 3194 Core Rd , Parkersburg WV 26104-1556. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Grose, Richard A can be contacted via phone (304) 485-5185.

Contact Information

Primary practice address
3194 Core Rd Parkersburg WV 26104-1556
Fax: (304) 485-0051
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 844 West Virginia

Profile Details

NPI number 1225116353
LBN Legal business name Grose, Richard A
Credentials MA PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Oct 19th, 2011 - about 13 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 1225116353 NPPES
West Virginia MEDICAID 3810004635

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