Groth, Jessica Marie

Groth, Jessica Marie is an individual health care provider with primary practice located at 4031 W Dayton St , Mchenry IL 60050-8377. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Groth, Jessica Marie can be contacted via phone (815) 861-6219.

Contact Information

Primary practice address
4031 W Dayton St Mchenry IL 60050-8377
Phone: (815) 861-6219
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043.116205 Illinois

Profile Details

NPI number 1265887178
LBN Legal business name Groth, Jessica Marie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2016
Last updated Apr 28th, 2016 - about 9 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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