Grover, Evangeline
Grover, Evangeline is an individual health care provider with primary practice located at 270 Commerce Dr Suite 250, Fort Washington PA 19034-2405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Grover, Evangeline can be contacted via phone (215) 653-0600.Contact Information
Primary practice address
270 Commerce Dr Suite 250
Fort Washington PA 19034-2405
Phone: (215) 653-0600
Fax: (215) 646-4422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD060329-L | Pennsylvania |
Profile Details
| NPI number | 1285636035 |
|---|---|
| LBN Legal business name | Grover, Evangeline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1285636035 | NPPES |
| Pennsylvania | Other | MD060329-L | MEDICAL LICENSE |
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