Grover, Tatum Nicole

Grover, Tatum Nicole is an individual health care provider with primary practice located at 1065 Medina Rd Ste 300 , Medina OH 44256-5374. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Grover, Tatum Nicole can be contacted via phone (614) 844-3800.

Contact Information

Primary practice address
1065 Medina Rd Ste 300 Medina OH 44256-5374
Phone: (614) 844-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1407569924
LBN Legal business name Grover, Tatum Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2022
Last updated May 22nd, 2024 - about 2 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 1407569924 NPPES
Ohio MEDICAID 171M00000X

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