Grube, Amy Louise

Grube, Amy Louise is an individual health care provider with primary practice located at 280 Pattonsville Rd , Jackson OH 45640-9452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grube, Amy Louise can be contacted via phone (740) 395-8677.

Contact Information

Primary practice address
280 Pattonsville Rd Jackson OH 45640-9452
Phone: (740) 395-8677
Fax: (740) 395-8834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10237 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP10237 Ohio

Profile Details

NPI number 1992955314
LBN Legal business name Grube, Amy Louise
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2008
Last updated Aug 7th, 2014 - about 11 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 1992955314 NPPES
Ohio Other 310917085217 OHIO MEDICAID CARESOURCE
Ohio Other P00781887 OHIO MEDICAID CARESOURCE
Ohio Other 2878444 OHIO MEDICAID CARESOURCE
Ohio MEDICAID 2878444 OHIO MEDICAID CARESOURCE
Ohio MEDICAID 3810016002 OHIO MEDICAID CARESOURCE
Ohio Other 282601 OHIO MEDICAID CARESOURCE

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