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
Fax: (814) 940-6308
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487674008 NPPES
Pennsylvania Other 0000792941 HEALTH INSURANCE - B/C; B

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