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
Phone: (610) 626-2964
Fax: (610) 623-6535
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871595181 | NPPES |
Pennsylvania | MEDICAID | 0009787190002 |
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