Groos, Jeanne T
Groos, Jeanne T is an individual health care provider with primary practice located at 824 Illinois Ave , Stevens Point WI 54481-3112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Groos, Jeanne T can be contacted via phone (715) 342-7500.Contact Information
Primary practice address
824 Illinois Ave
Stevens Point WI 54481-3112
Phone: (715) 342-7500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 28881 | Wisconsin |
Profile Details
| NPI number | 1063566099 |
|---|---|
| LBN Legal business name | Groos, Jeanne T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Dec 14th, 2011 - about 13 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 | 1063566099 | NPPES |
| Wisconsin | Other | 28881 | WI STATE LIC |
| Wisconsin | MEDICAID | 31367700 | WI STATE LIC |
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