Groehler, Jennifer Marie

Groehler, Jennifer Marie is an individual health care provider with primary practice located at 10 Tower Dr , Sun Prairie WI 53590-1239. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Groehler, Jennifer Marie can be contacted via phone (608) 825-3008.

Contact Information

Primary practice address
10 Tower Dr Sun Prairie WI 53590-1239
Phone: (608) 825-3008
Fax: (608) 825-3517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3178-35 Wisconsin

Profile Details

NPI number 1013237155
LBN Legal business name Groehler, Jennifer Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2010
Last updated Nov 17th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013237155 NPPES
Wisconsin MEDICAID 1013237155

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