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Individual
STEVEN DAVID GROB
Active
Individual
STEVEN DAVID GROB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
000397
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05000397CT01
ANTHEM BLUE CROSS
CT
01
—
070213
ACN
CT
01
—
1031257
ASHN
CT
01
—
10443909
CAQH
CT
01
—
44-00115
UNITED HEALTHCARE
CT
01
—
4569279
AETNA
CT
01
—
NLS066
TRIAD/OXFORD
CT
01
—
OV4644
LANDMARK/HEALTHNET
CT
Enumeration date
07/25/2006
Last updated
07/08/2007
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