Gronewold, Justin

Gronewold, Justin is an individual health care provider with primary practice located at 1804 Jackson St , Maplewood MN 55117-2325. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Gronewold, Justin can be contacted via phone (612) 655-3410.

Contact Information

Primary practice address
1804 Jackson St Maplewood MN 55117-2325
Phone: (612) 655-3410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1487415287
LBN Legal business name Gronewold, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2024
Last updated Jan 18th, 2024 - about last year

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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