Grothman, Brandi Dawn

Grothman, Brandi Dawn is an sole proprietor health care provider with primary practice located at 1606 S Pear Ln , Greenville MS 38703-7814. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Grothman, Brandi Dawn can be contacted via phone (662) 820-5233.

Contact Information

Primary practice address
1606 S Pear Ln Greenville MS 38703-7814
Phone: (662) 820-5233
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1265997795
LBN Legal business name Grothman, Brandi Dawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2019
Last updated Feb 8th, 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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