Groh, Jane L

Groh, Jane L is an individual health care provider with primary practice located at 975 Kingsview Dr Bldg A , Lebanon OH 45036-9562. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Groh, Jane L can be contacted via phone (513) 228-7800.

Contact Information

Primary practice address
975 Kingsview Dr Bldg A Lebanon OH 45036-9562
Fax: (513) 228-7846
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.0004412-SUPV Ohio

Profile Details

NPI number 1528012499
LBN Legal business name Groh, Jane L
Credentials LISW-S
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated May 4th, 2018 - about 8 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 1528012499 NPPES
Other 11538022 CAQH #
Other 000000228724 CAQH #

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