Groth, Roberta Ann
Groth, Roberta Ann is an sole proprietor health care provider with primary practice located at 430 W Iowa Ave Ste A , Nampa ID 83686-2826. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Groth, Roberta Ann can be contacted via phone (208) 870-6658.Contact Information
Primary practice address
430 W Iowa Ave Ste A
Nampa ID 83686-2826
Phone: (208) 870-6658
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MASG-1782 | Idaho |
Profile Details
| NPI number | 1699250084 |
|---|---|
| LBN Legal business name | Groth, Roberta Ann |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2018 |
| Last updated | Oct 1st, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699250084 | NPPES |
| Idaho | Other | MASG-1782 | IDAHO BUREAU OF OCCUPATIONAL LICENSES |
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