Groshart, Kenneth Dean
Groshart, Kenneth Dean is an individual health care provider with primary practice located at 7550 Wolf River Blvd Suite 200, Germantown TN 38138-1745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Groshart, Kenneth Dean can be contacted via phone (901) 542-6801.Contact Information
Primary practice address
7550 Wolf River Blvd Suite 200
Germantown TN 38138-1745
Phone: (901) 542-6801
Fax: (901) 542-6871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | MD0000008167 | Tennessee |
Profile Details
| NPI number | 1730119819 |
|---|---|
| LBN Legal business name | Groshart, Kenneth Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Dec 9th, 2008 - 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 | 1730119819 | NPPES |
| Arkansas | Other | 96811 | BLUE CROSS |
| Arkansas | MEDICAID | 113592001 | BLUE CROSS |
| Arkansas | MEDICAID | 000000004191 | BLUE CROSS |
| Arkansas | MEDICAID | 3031615 | BLUE CROSS |
| Arkansas | MEDICAID | 3040566 | BLUE CROSS |
| Arkansas | MEDICAID | 0016392 | BLUE CROSS |
| Arkansas | MEDICAID | 202406807 | BLUE CROSS |
| Arkansas | Other | 3031615 | BLUE CROSS |
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