Grimm, Naomi Marie
Grimm, Naomi Marie is an individual health care provider with primary practice located at 600 York St , Manitowoc WI 54220-6845. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Grimm, Naomi Marie can be contacted via phone (920) 320-6750.Contact Information
Primary practice address
600 York St
Manitowoc WI 54220-6845
Phone: (920) 320-6750
Fax: (920) 682-1981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 3314-26 | Wisconsin |
Profile Details
| NPI number | 1770513129 |
|---|---|
| LBN Legal business name | Grimm, Naomi Marie |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770513129 | NPPES |
| Wisconsin | MEDICAID | 40829000 | |
| Wisconsin | Other | 717681 |
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