Grote, Jessie Kae
Grote, Jessie Kae is an individual health care provider with primary practice located at 2525 Washington St , Pella IA 50219-1553. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Grote, Jessie Kae can be contacted via phone (641) 628-6728.Contact Information
Primary practice address
2525 Washington St
Pella IA 50219-1553
Phone: (641) 628-6728
Fax: (641) 628-6727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1457086738 |
|---|---|
| LBN Legal business name | Grote, Jessie Kae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2022 |
| Last updated | Jul 20th, 2022 - about 3 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 | 1457086738 | NPPES |
| Iowa | Other | 115509 | IOWA PROVIDER LICENSE |
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