Grove, Lisa

Grove, Lisa is an individual health care provider with primary practice located at 600 Fitch St Suite 102, Elmira NY 14905-1634. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Grove, Lisa can be contacted via phone (607) 734-6544.

Contact Information

Primary practice address
600 Fitch St Suite 102 Elmira NY 14905-1634
Phone: (607) 734-6544
Fax: (607) 734-6580
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 001703 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN11020189 Florida

Profile Details

NPI number 1891163408
LBN Legal business name Grove, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2015
Last updated Aug 25th, 2022 - 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 1891163408 NPPES
New York MEDICAID 04272184

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