Grell, Sandra

Grell, Sandra is an individual health care provider with primary practice located at 1470 Industrial Dr Nw , Rochester MN 55901-0700. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Grell, Sandra can be contacted via phone (507) 353-3023.

Contact Information

Primary practice address
1470 Industrial Dr Nw Rochester MN 55901-0700
Phone: (507) 353-3023
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1558955179
LBN Legal business name Grell, Sandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2021
Last updated Feb 24th, 2021 - about 4 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 1558955179 NPPES
Minnesota MEDICAID 1588993091

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