Grove, Christopher Allen

Grove, Christopher Allen is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 207 , Daytona Beach FL 32117-5169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Grove, Christopher Allen can be contacted via phone (386) 231-3414.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Ste 207 Daytona Beach FL 32117-5169
Phone: (386) 231-3414
Fax: (386) 231-3488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 27210 West Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 35-07-3218-G Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X ME 125954 Florida

Profile Details

NPI number 1306838545
LBN Legal business name Grove, Christopher Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Feb 18th, 2021 - about 3 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 1306838545 NPPES
Ohio MEDICAID 2077345

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