Groth, Alan Scott

Groth, Alan Scott is an individual health care provider with primary practice located at 708 Long Ln , Upper Darby PA 19082-5101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Groth, Alan Scott can be contacted via phone (610) 626-2964.

Contact Information

Primary practice address
708 Long Ln Upper Darby PA 19082-5101
Fax: (610) 623-6535
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS004223L Pennsylvania

Profile Details

NPI number 1871595181
LBN Legal business name Groth, Alan Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 16th, 2010 - about 14 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 1871595181 NPPES
Pennsylvania MEDICAID 0009787190002

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