National Provider Identifier
John Grogan
John Grogan is listed in the NPPES registry with a primary specialty of Peer Specialist in Orchard Park, NY and a listed phone number of (716) 391-5707.
Profile Overview
- NPI
- 1538349170
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- November 12, 2007
- Last Updated
- February 22, 2022
Practice Location
- 3176 Abbott RD Ste 800
- Orchard Park, NY 14127-1069
Phone: (716) 391-5707
Mailing Address
- PO Box 8459
- Portland, OR 97207-8459
Specialties
- Peer Specialist (175T00000X)
- Adult Companion (372600000X)
Full Record
- NPI
- 1538349170
- Entity Type
- Individual
- Last Name
- Grogan
- First Name
- John
- Mailing Street Address
- PO Box 8459
- Mailing City
- Portland
- Mailing State
- OR
- Mailing ZIP Code
- 97207-8459
- Mailing Country
- US
- Practice Street Address
- 3176 Abbott RD Ste 800
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1069
- Practice Country
- US
- Practice Phone
- (716) 391-5707
- Enumeration Date
- November 12, 2007
- Last Updated
- February 22, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- February 22, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X), Adult Companion (372600000X)