Groshek, Mark R

Groshek, Mark R is an individual health care provider with primary practice located at 10240 Park Meadows Dr , Lone Tree CO 80124-5425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Groshek, Mark R can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
10240 Park Meadows Dr Lone Tree CO 80124-5425
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29373 Colorado

Profile Details

NPI number 1568506343
LBN Legal business name Groshek, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jun 18th, 2021 - 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 1568506343 NPPES
Other 005285 KAISER-COMMERCIAL NUMBER
MEDICAID 01293737 KAISER-COMMERCIAL NUMBER

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