Grout, Richard E.

Grout, Richard E. is an individual health care provider with primary practice located at 14205 Pine Valley Rd , Orlando FL 32826-5276. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Grout, Richard E. can be contacted via phone (814) 771-9682.

Contact Information

Primary practice address
14205 Pine Valley Rd Orlando FL 32826-5276
Phone: (814) 771-9682
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD070480L Pennsylvania
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD070480L Pennsylvania

Profile Details

NPI number 1164427589
LBN Legal business name Grout, Richard E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Mar 16th, 2015 - about 10 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 1164427589 NPPES
Pennsylvania MEDICAID 0017919660004

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