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
Phone: (304) 485-5185
Fax: (304) 485-0051
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225116353 | NPPES |
West Virginia | MEDICAID | 3810004635 |
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