Grover, Bruce S
Grover, Bruce S is an individual health care provider with primary practice located at 111 W Stone Dr Suite 100, Kingsport TN 37660-6027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Grover, Bruce S can be contacted via phone (423) 247-5197.Contact Information
Primary practice address
111 W Stone Dr Suite 100
Kingsport TN 37660-6027
Phone: (423) 247-5197
Fax: (423) 247-5254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 21113 | Tennessee |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 0101233245 | Virginia |
Profile Details
| NPI number | 1518919745 |
|---|---|
| LBN Legal business name | Grover, Bruce S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Jul 27th, 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 | 1518919745 | NPPES |
| Tennessee | Other | 4604190 | AETNA |
| Tennessee | Other | 1737428 | AETNA |
| Tennessee | Other | 100024532 | AETNA |
| Tennessee | MEDICAID | 3061311 | AETNA |
| Tennessee | Other | 62134825606 | AETNA |
| Tennessee | Other | 0139819 | AETNA |
| Tennessee | Other | 030474 | AETNA |
| Tennessee | MEDICAID | 1000908 | AETNA |
| Tennessee | Other | 64911787 | AETNA |
| Tennessee | Other | 006044182 | AETNA |
| Tennessee | Other | Z101 | AETNA |
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