Gronotte, Madeline Ann
Gronotte, Madeline Ann is an individual health care provider with primary practice located at 580 Lincoln Park Blvd Ste 105 , Kettering OH 45429-3556. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gronotte, Madeline Ann can be contacted via phone (937) 499-1435.Contact Information
Primary practice address
580 Lincoln Park Blvd Ste 105
Kettering OH 45429-3556
Phone: (937) 499-1435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X |
Profile Details
| NPI number | 1063928034 |
|---|---|
| LBN Legal business name | Gronotte, Madeline Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2017 |
| Last updated | Aug 10th, 2022 - about 2 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 | 1063928034 | NPPES |
| Ohio | MEDICAID | 2846675 |
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