Grove, Susan M
Grove, Susan M is an individual health care provider with primary practice located at 91 Perimeter Rd Suite 120, Rome NY 13441-4018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grove, Susan M can be contacted via phone (315) 336-8260.Contact Information
Primary practice address
91 Perimeter Rd Suite 120
Rome NY 13441-4018
Phone: (315) 336-8260
Fax: (315) 337-3807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F331849 | New York |
Profile Details
| NPI number | 1992702666 |
|---|---|
| LBN Legal business name | Grove, Susan M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | May 15th, 2012 - about 12 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 | 1992702666 | NPPES |
| New York | MEDICAID | 02195260 |
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