Grover, Johanna

Grover, Johanna is an individual health care provider with primary practice located at 116 N Main St , Shawano WI 54166-2356. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Grover, Johanna can be contacted via phone (715) 526-7370.

Contact Information

Primary practice address
116 N Main St Shawano WI 54166-2356
Phone: (715) 526-7370
Fax: (715) 526-7294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4680-024 Wisconsin

Profile Details

NPI number 1255328795
LBN Legal business name Grover, Johanna
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 2007 - about 19 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 1255328795 NPPES
Wisconsin MEDICAID 40386700

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