Gruber, Mary J

Gruber, Mary J is an sole proprietor health care provider with primary practice located at 2420 Peaceful Ln , Batavia OH 45103-8519. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Gruber, Mary J can be contacted via phone (937) 725-1681.

Contact Information

Primary practice address
2420 Peaceful Ln Batavia OH 45103-8519
Phone: (937) 725-1681
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1700284197
LBN Legal business name Gruber, Mary J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2014
Last updated Dec 17th, 2014 - 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 1700284197 NPPES
Ohio MEDICAID 0089124

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