Grotegut, Timothy D

Grotegut, Timothy D is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Grotegut, Timothy D can be contacted via phone (801) 373-7850.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Fax: (801) 357-7997
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1108474102 Utah

Profile Details

NPI number 1700806247
LBN Legal business name Grotegut, Timothy D
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1700806247 NPPES
Utah Other 1108474102 UTAH STATE LICENSE

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