Grove, John Donelson
Grove, John Donelson is an sole proprietor health care provider with primary practice located at 104 Ruskin Drive , Altoona PA 16602. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Grove, John Donelson can be contacted via phone (814) 215-3999.Contact Information
Primary practice address
104 Ruskin Drive
Altoona PA 16602
Phone: (814) 215-3999
Fax: (814) 940-6308
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW013302 | Pennsylvania |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
NPI number | 1487674008 |
---|---|
LBN Legal business name | Grove, John Donelson |
Credentials | CLINICAL SOCIAL WORK |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 19th, 2006 |
Last updated | Apr 10th, 2015 - about 10 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 | 1487674008 | NPPES |
Pennsylvania | Other | 0000792941 | HEALTH INSURANCE - B/C; B |
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