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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063566099 NPPES
Wisconsin Other 28881 WI STATE LIC
Wisconsin MEDICAID 31367700 WI STATE LIC

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