Groteguth, Julie Ranae

Groteguth, Julie Ranae is an individual health care provider with primary practice located at 2920 10Th St , Columbus IN 47201-6602. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Groteguth, Julie Ranae can be contacted via phone (812) 376-9404.

Contact Information

Primary practice address
2920 10Th St Columbus IN 47201-6602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 703494 Indiana

Profile Details

NPI number 1023191327
LBN Legal business name Groteguth, Julie Ranae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Nov 26th, 2018 - about 6 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 1023191327 NPPES
Indiana MEDICAID 200637450

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