Grote, David J.
Grote, David J. is an individual health care provider with primary practice located at 2930 Hamilton Blvd Ste. 102, Sioux City IA 51104-2425. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Grote, David J. can be contacted via phone (712) 277-9370.Contact Information
Primary practice address
2930 Hamilton Blvd Ste. 102
Sioux City IA 51104-2425
Phone: (712) 277-9370
Fax: (712) 252-4733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 000844 | Iowa |
Profile Details
| NPI number | 1164465019 |
|---|---|
| LBN Legal business name | Grote, David J. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 16th, 2016 - about 8 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 | 1164465019 | NPPES |
| Iowa | Other | 1164465019 | MEDICARE INDIVIDUAL NPI |
| Iowa | Other | IB2763 | MEDICARE INDIVIDUAL NPI |
| Iowa | Other | 1417088907 | MEDICARE INDIVIDUAL NPI |
| Iowa | Other | DT7736 | MEDICARE INDIVIDUAL NPI |
| Iowa | Other | IB2763004 | MEDICARE INDIVIDUAL NPI |
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