Groseth, Jacob Wesley

Groseth, Jacob Wesley is an individual health care provider with primary practice located at 463688 State Road 200 Ste 9 , Yulee FL 32097-0304. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Groseth, Jacob Wesley can be contacted via phone (904) 261-4414.

Contact Information

Primary practice address
463688 State Road 200 Ste 9 Yulee FL 32097-0304
Phone: (904) 261-4414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 145866 Florida
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PT33205 Florida

Profile Details

NPI number 1881023539
LBN Legal business name Groseth, Jacob Wesley
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2013
Last updated Dec 14th, 2017 - about 9 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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