Grove, Jason R

Grove, Jason R is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 101 , Mishawaka IN 46545-1464. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Grove, Jason R can be contacted via phone (574) 335-6800.

Contact Information

Primary practice address
611 E Douglas Rd Ste 101 Mishawaka IN 46545-1464
Phone: (574) 335-6800
Fax: (574) 335-0772
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.003447 Ohio
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 07001058A Indiana

Profile Details

NPI number 1609040088
LBN Legal business name Grove, Jason R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated Jul 15th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1609040088 NPPES
Indiana Other 000000592921 BCBS BMG SCHWARTZ
Indiana Other 000000591890 BCBS BMG SCHWARTZ
Indiana Other 738460026 BCBS BMG SCHWARTZ
Indiana Other IN1933041 BCBS BMG SCHWARTZ
Indiana Other 000000591888 BCBS BMG SCHWARTZ
Indiana Other 000000592923 BCBS BMG SCHWARTZ
Indiana Other 000000710624 BCBS BMG SCHWARTZ
Indiana Other P00656770 BCBS BMG SCHWARTZ
Indiana Other 000000630279 BCBS BMG SCHWARTZ
Indiana MEDICAID 200912030 BCBS BMG SCHWARTZ

Popular Providers