Grote, James A.

Grote, James A. is an individual health care provider with primary practice located at 147 Lashmett Ln , Pittsfield IL 62363-9576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grote, James A. can be contacted via phone (217) 285-6097.

Contact Information

Primary practice address
147 Lashmett Ln Pittsfield IL 62363-9576
Phone: (217) 285-6097
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036055703 Illinois

Profile Details

NPI number 1962475087
LBN Legal business name Grote, James A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Feb 4th, 2011 - about 14 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 1962475087 NPPES
Illinois MEDICAID 036055703

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