Grove-Suppok, Beth

Grove-Suppok, Beth is an individual health care provider with primary practice located at 223 S Pleasant Street Suite 301 Ospta Somerset, Somerset PA 15510. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Grove-Suppok, Beth can be contacted via phone (412) 751-0040.

Contact Information

Primary practice address
223 S Pleasant Street Suite 301 Ospta Somerset Somerset PA 15510
Phone: (412) 751-0040
Fax: (724) 483-3154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC010191 Pennsylvania

Profile Details

NPI number 1902058704
LBN Legal business name Grove-Suppok, Beth
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2008
Last updated May 6th, 2014 - about 12 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 1902058704 NPPES
Pennsylvania MEDICAID 102211357 0001

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