Grovatt, Carla Y.
Grovatt, Carla Y. is an individual health care provider with primary practice located at 131 Route 70 W Ste 100, Medford NJ 08055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grovatt, Carla Y. can be contacted via phone (609) 267-9400.Contact Information
Primary practice address
131 Route 70 W Ste 100
Medford NJ 08055
Phone: (609) 267-9400
Fax: (609) 267-9457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00000700 | New Jersey |
Profile Details
| NPI number | 1952330524 |
|---|---|
| LBN Legal business name | Grovatt, Carla Y. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 9th, 2018 - about 6 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 | 1952330524 | NPPES |
| New Jersey | MEDICAID | 0342921 |
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