Heideloff, Gretchen

Heideloff, Gretchen is an individual health care provider with primary practice located at 5665 Hoover Rd , Grove City OH 43123. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Heideloff, Gretchen can be contacted via phone (614) 935-9353.

Contact Information

Primary practice address
5665 Hoover Rd Grove City OH 43123
Phone: (614) 935-9353
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2103109 Ohio

Profile Details

NPI number 1043727498
LBN Legal business name Heideloff, Gretchen
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2018
Last updated Oct 26th, 2021 - about 5 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 1043727498 NPPES
Ohio MEDICAID 1043727498

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