Grote, Mary Jo

Grote, Mary Jo is an individual health care provider with primary practice located at 44320 Premier Plz Ste 110 , Ashburn VA 20147-5077. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Grote, Mary Jo can be contacted via phone (703) 723-8727.

Contact Information

Primary practice address
44320 Premier Plz Ste 110 Ashburn VA 20147-5077
Phone: (703) 723-8727
Fax: (703) 723-9787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201000555 Virginia

Profile Details

NPI number 1427022045
LBN Legal business name Grote, Mary Jo
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 10th, 2024 - about 5 months 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 1427022045 NPPES
Virginia Other 265673 ALLIANCE
Virginia Other 541804291 ALLIANCE
Virginia Other 5518-0001 ALLIANCE
Virginia Other 265673 ALLIANCE
Virginia Other 272803 ALLIANCE
Virginia Other 3311009 ALLIANCE
Virginia MEDICAID 9460144 ALLIANCE
Virginia Other 541804291 ALLIANCE
Virginia Other 0007472511 ALLIANCE
Virginia Other 54/1804291-001 ALLIANCE

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