Grider, Robert Brady

Grider, Robert Brady is an sole proprietor health care provider with primary practice located at 915 Mainstreet , Hopkins MN 55343-7565. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Grider, Robert Brady can be contacted via phone (952) 929-1981.

Contact Information

Primary practice address
915 Mainstreet Hopkins MN 55343-7565
Phone: (952) 929-1981
Fax: (952) 206-7731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5042 Minnesota

Profile Details

NPI number 1902905599
LBN Legal business name Grider, Robert Brady
Credentials MS/CCC-SP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Aug 19th, 2022 - 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 1902905599 NPPES
Minnesota Other 46000002 MEDICA CHOICE
Minnesota Other 64601000 MEDICA CHOICE
Minnesota MEDICAID 334245000 MEDICA CHOICE
Minnesota Other 134612 MEDICA CHOICE
Minnesota Other 05995GR MEDICA CHOICE

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