Grover, Johanna
Grover, Johanna is an individual health care provider with primary practice located at 116 N Main St , Shawano WI 54166-2356. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Grover, Johanna can be contacted via phone (715) 526-7370.Contact Information
Primary practice address
116 N Main St
Shawano WI 54166-2356
Phone: (715) 526-7370
Fax: (715) 526-7294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4680-024 | Wisconsin |
Profile Details
| NPI number | 1255328795 |
|---|---|
| LBN Legal business name | Grover, Johanna |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1255328795 | NPPES |
| Wisconsin | MEDICAID | 40386700 |
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