Groves, Larry Wayne

Groves, Larry Wayne is an sole proprietor health care provider with primary practice located at 149 Hart St 82D Medical Group - Sgh, Sheppard Afb TX 76311-3477. He recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as his primary health care specialty. Groves, Larry Wayne can be contacted via phone (940) 676-4274.

Contact Information

Primary practice address
149 Hart St 82D Medical Group - Sgh Sheppard Afb TX 76311-3477
Phone: (940) 676-4274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X PT01648 Missouri
Other Service Providers / Military Health Care Provider 171000000X AT00007 Missouri

Profile Details

NPI number 1457558751
LBN Legal business name Groves, Larry Wayne
Credentials PT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Jul 9th, 2007 - about 17 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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