Groh, Thomas

Groh, Thomas is an individual health care provider with primary practice located at 1095 Midway Rd , Menasha WI 54952-1115. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Groh, Thomas can be contacted via phone (920) 720-2300.

Contact Information

Primary practice address
1095 Midway Rd Menasha WI 54952-1115
Phone: (920) 720-2300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 614-057 Wisconsin

Profile Details

NPI number 1316014079
LBN Legal business name Groh, Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1316014079 NPPES
Wisconsin MEDICAID 39007500

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