Grove, Tim P

Grove, Tim P is an individual health care provider with primary practice located at 8901 W Capitol Dr , Milwaukee WI 53222-1706. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Grove, Tim P can be contacted via phone (414) 465-1394.

Contact Information

Primary practice address
8901 W Capitol Dr Milwaukee WI 53222-1706
Phone: (414) 465-1394
Fax: (414) 463-2770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1568638013
LBN Legal business name Grove, Tim P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated May 5th, 2008 - about 16 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 1568638013 NPPES
Wisconsin MEDICAID 39751800

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