Mr. Jason Louis Groff
Orthotic Fitter
645 Cox Rd
Gastonia
, North Carolina 28054-0639
Mr. Jason Louis Groff
Orthotic Fitter
645 Cox Rd
Gastonia
, North Carolina 28054-0639
(336) 621-0980
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mr. Jason Louis Groff
- 2800 Saint Leo St
- Greensboro, NC
- Zip : 27405-3382
- Fax : (336) 621-0980
- Phone : (336) 621-9500
Second Address
- Mr. Jason Louis Groff
- 645 Cox Rd
- Gastonia, NC
- Zip : 28054-0639
- Fax : (704) 853-1055
- Phone : (704) 852-9823
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1134562317 |
|---|---|
| Provider Name | Mr. Jason Louis Groff |
| First Address | Greensboro, NC 27405-3382 |
| Second Address | Gastonia, NC 28054-0639 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2013 |
| Last Update Date | 03/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.