Gruschow, Jordan

Gruschow, Jordan is an sole proprietor health care provider with primary practice located at 550 Emker Ter , Ridgewood NJ 07450-1202. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gruschow, Jordan can be contacted via phone (585) 415-3631.

Contact Information

Primary practice address
550 Emker Ter Ridgewood NJ 07450-1202
Phone: (585) 415-3631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00370900 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC06232800 New Jersey

Profile Details

NPI number 1659155307
LBN Legal business name Gruschow, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2023
Last updated Aug 23rd, 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.

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