Grevengoed, Justin

Grevengoed, Justin is an individual health care provider with primary practice located at 915 Pierce St , Sioux City IA 51101-1031. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Grevengoed, Justin can be contacted via phone (712) 234-8760.

Contact Information

Primary practice address
915 Pierce St Sioux City IA 51101-1031
Phone: (712) 234-8760
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1174391288
LBN Legal business name Grevengoed, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2023
Last updated Dec 18th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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