Grider, Nicholas Jon

Grider, Nicholas Jon is an individual health care provider with primary practice located at 3113 N Dousman St , Milwaukee WI 53212-2245. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Grider, Nicholas Jon can be contacted via phone (414) 640-7656.

Contact Information

Primary practice address
3113 N Dousman St Milwaukee WI 53212-2245
Fax: (414) 374-5364
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 313012-31 Wisconsin

Profile Details

NPI number 1306148820
LBN Legal business name Grider, Nicholas Jon
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2010
Last updated Dec 4th, 2010 - about 15 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.

Request for update

Popular Providers