Groskreutz, Jonathan
Groskreutz, Jonathan is an individual health care provider with primary practice located at 101 3Rd St Nw , Orange City IA 51041-1307. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Groskreutz, Jonathan can be contacted via phone (712) 707-6060.Contact Information
Primary practice address
101 3Rd St Nw
Orange City IA 51041-1307
Phone: (712) 707-6060
Fax: (712) 707-6062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4296 | Minnesota |
Profile Details
| NPI number | 1336236892 |
|---|---|
| LBN Legal business name | Groskreutz, Jonathan |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Feb 9th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336236892 | NPPES |
| Minnesota | Other | 195K1GR | BLUECROSS BLUESHIELD |
| Minnesota | MEDICAID | 350887100 | BLUECROSS BLUESHIELD |
| Minnesota | Other | HP18577 | BLUECROSS BLUESHIELD |
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