Grover, Stacy Marie

Grover, Stacy Marie is an individual health care provider with primary practice located at 459 Patterson Rd Bldg 110 , Honolulu HI 96819-1522. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Grover, Stacy Marie can be contacted via phone (808) 430-0090.

Contact Information

Primary practice address
459 Patterson Rd Bldg 110 Honolulu HI 96819-1522
Phone: (808) 430-0090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1316531106
LBN Legal business name Grover, Stacy Marie
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2021
Last updated Feb 23rd, 2021 - about 3 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 1316531106 NPPES
Other 61430 NCTRC

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