Grote, Walter R

Grote, Walter R is an individual health care provider with primary practice located at 532 Lafayette Rd Suite 300, Sparta NJ 07871-4411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Grote, Walter R can be contacted via phone (980) 263-9601.

Contact Information

Primary practice address
532 Lafayette Rd Suite 300 Sparta NJ 07871-4411
Fax: (980) 263-9601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB03954800 New Jersey

Profile Details

NPI number 1811983745
LBN Legal business name Grote, Walter R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jun 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811983745 NPPES
New Jersey MEDICAID 0341401

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