| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pain | 261QP3300X |
| Rehabilitation | 261QR0400X |
* Indicates primary specialty
| NPI Number | 1104097351 |
| Legal business name LBN |
GRIZZLY SPINE PAIN AND REHAB, PC |
| Authorized official | SCOTT JAHNKE - (DOCTOR - OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 03/17/2008 |
| Last updated | 04/06/2020 - About 6 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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