Groves, Samuel S
Groves, Samuel S is an individual health care provider with primary practice located at 2930 Chesterfield Ave , Charleston WV 25304-1125. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Groves, Samuel S can be contacted via phone (304) 343-9923.Contact Information
Primary practice address
2930 Chesterfield Ave
Charleston WV 25304-1125
Phone: (304) 343-9923
Fax: (304) 343-9925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 20327 | West Virginia |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 20327 | West Virginia |
Profile Details
| NPI number | 1821035304 |
|---|---|
| LBN Legal business name | Groves, Samuel S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Mar 21st, 2017 - about 7 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 | 1821035304 | NPPES |
| Washington | MEDICAID | 0011726000 | |
| Washington | Other | 000465033 | |
| Washington | Other | 1327565 |
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