Provider Demographics
NPI:1295248904
Name:GROCH MOBILE WELLNESS PC
Entity type:Organization
Organization Name:GROCH MOBILE WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:SCIARRINO
Authorized Official - Last Name:GROCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-372-3952
Mailing Address - Street 1:4400 S MONACO ST APT 711
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3451
Mailing Address - Country:US
Mailing Address - Phone:720-372-3952
Mailing Address - Fax:
Practice Address - Street 1:4400 S MONACO ST APT 711
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-3451
Practice Address - Country:US
Practice Address - Phone:720-372-3952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007681111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty