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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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