Collip, John Ralph
Collip, John Ralph is an sole proprietor health care provider with primary practice located at 415 W Main St , Greenfield IN 46140-2056. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Collip, John Ralph can be contacted via phone (317) 679-1009.Contact Information
Primary practice address
415 W Main St
Greenfield IN 46140-2056
Phone: (317) 679-1009
Fax: (317) 826-1370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 01044478A | Indiana |
Profile Details
| NPI number | 1710097571 |
|---|---|
| LBN Legal business name | Collip, John Ralph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Aug 30th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710097571 | NPPES |
| Indiana | MEDICAID | 200072520B |
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