Groth, Stephan J

Groth, Stephan J is an individual health care provider with primary practice located at 1750 Thompson Rd , Coos Bay OR 97420-2100. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Groth, Stephan J can be contacted via phone (541) 269-0333.

Contact Information

Primary practice address
1750 Thompson Rd Coos Bay OR 97420-2100
Phone: (541) 269-0333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD22161 Oregon
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD22161 Oregon

Profile Details

NPI number 1699780015
LBN Legal business name Groth, Stephan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Feb 22nd, 2024 - about last year

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 1699780015 NPPES
Oregon MEDICAID 134364

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