Grogan, Jessica
Grogan, Jessica is an sole proprietor health care provider with primary practice located at 8501 Harcourt Rd , Indianapolis IN 46260-2046. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Grogan, Jessica can be contacted via phone (317) 875-9105.Contact Information
Primary practice address
8501 Harcourt Rd
Indianapolis IN 46260-2046
Phone: (317) 875-9105
Fax: (317) 808-8802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 31003972A | Indiana |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 31003972A | Indiana |
Profile Details
| NPI number | 1841269511 |
|---|---|
| LBN Legal business name | Grogan, Jessica |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | May 24th, 2024 - about 7 months 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 | 1841269511 | NPPES |
| Indiana | Other | 31003972A | STATE LICENSE |
| Indiana | MEDICAID | 200837790 | STATE LICENSE |
| Indiana | Other | P00708058 | STATE LICENSE |
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