Grove, Caleb W

Grove, Caleb W is an individual health care provider with primary practice located at 700 W Central Ave Ste 105 , El Dorado KS 67042-2187. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Grove, Caleb W can be contacted via phone (316) 322-9813.

Contact Information

Primary practice address
700 W Central Ave Ste 105 El Dorado KS 67042-2187
Phone: (316) 322-9813
Fax: (316) 322-9806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X T00782 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 15-01144 Kansas

Profile Details

NPI number 1700973583
LBN Legal business name Grove, Caleb W
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jun 16th, 2008 - about 17 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 1700973583 NPPES
Kansas Other 0000427308 BLUE CROSS BLUE SHIELD
Kansas MEDICAID 200406070D BLUE CROSS BLUE SHIELD

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