Grotewold, Cody
Grotewold, Cody is an individual health care provider with primary practice located at 590 Herty Lane , Statesboro GA 30460-3783. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Grotewold, Cody can be contacted via phone (912) 478-5053.Contact Information
Primary practice address
590 Herty Lane
Statesboro GA 30460-3783
Phone: (912) 478-5053
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AT002778 | Georgia |
Profile Details
| NPI number | 1538696273 |
|---|---|
| LBN Legal business name | Grotewold, Cody |
| Credentials | MS, ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2017 |
| Last updated | Aug 5th, 2019 - 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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