Provider Demographics
NPI:1447316823
Name:GROVER, PHILIP W (DC)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:W
Last Name:GROVER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:26 SEMINOLE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-4117
Mailing Address - Country:US
Mailing Address - Phone:413-822-1132
Mailing Address - Fax:413-895-0233
Practice Address - Street 1:5 CHESHIRE RD
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-1831
Practice Address - Country:US
Practice Address - Phone:413-822-1132
Practice Address - Fax:413-445-4251
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1456111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor