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
Phone: (918) 609-6003
Fax: (918) 609-6002
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215294632 | NPPES |
Oklahoma | MEDICAID | 200425950A |
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