Groves, Marilyn S

Groves, Marilyn S is an individual health care provider with primary practice located at 2600 Oakland Ave , Elkhart IN 46517-1533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Groves, Marilyn S can be contacted via phone (574) 533-1234.

Contact Information

Primary practice address
2600 Oakland Ave Elkhart IN 46517-1533
Phone: (574) 533-1234
Fax: (574) 537-2652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71001259A Indiana

Profile Details

NPI number 1710921267
LBN Legal business name Groves, Marilyn S
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Aug 9th, 2011 - about 15 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 1710921267 NPPES
Indiana Other P00106755 RAILROAD MEDICARE PIN
Indiana Other 000000533123 RAILROAD MEDICARE PIN
Indiana MEDICAID 200361200 RAILROAD MEDICARE PIN

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