Groff, Jessica Larun

Groff, Jessica Larun is an individual health care provider with primary practice located at 12899 E 76Th St N Ste. 109, Owasso OK 74055-4021. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Groff, Jessica Larun can be contacted via phone (918) 609-6003.

Contact Information

Primary practice address
12899 E 76Th St N Ste. 109 Owasso OK 74055-4021
Fax: (918) 609-6002
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3861 Oklahoma

Profile Details

NPI number 1215294632
LBN Legal business name Groff, Jessica Larun
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Nov 8th, 2016 - about 9 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 1215294632 NPPES
Oklahoma MEDICAID 200425950A

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