Grovergrys, Douglas D

Grovergrys, Douglas D is an sole proprietor health care provider with primary practice located at 8042 Watts Road , Madison WI 53719-0001. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Grovergrys, Douglas D can be contacted via phone (608) 261-1761.

Contact Information

Primary practice address
8042 Watts Road Madison WI 53719-0001
Phone: (608) 261-1761
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 9516-024 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 268-039 Wisconsin

Profile Details

NPI number 1083631840
LBN Legal business name Grovergrys, Douglas D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1083631840 NPPES
Wisconsin Other 268-039 ATHLETIC TRAINER
Wisconsin Other 9516-024 ATHLETIC TRAINER

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