Grondahl, Heidi

Grondahl, Heidi is an individual health care provider with primary practice located at Building 2, Del Din Clinic , Apo AE 09606. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Grondahl, Heidi can be contacted via phone (314) 636-9764.

Contact Information

Primary practice address
Building 2, Del Din Clinic Apo AE 09606
Phone: (314) 636-9764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X

Profile Details

NPI number 1962921049
LBN Legal business name Grondahl, Heidi
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2017
Last updated Oct 11th, 2018 - about 7 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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