Greist, Mary Coffey

Greist, Mary Coffey is an individual health care provider with primary practice located at 6820 Parkdale Place Suite 211, Indianapolis IN 46254-6600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Greist, Mary Coffey can be contacted via phone (317) 329-7050.

Contact Information

Primary practice address
6820 Parkdale Place Suite 211 Indianapolis IN 46254-6600
Phone: (317) 329-7050
Fax: (317) 328-6809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 01024873 Indiana
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 01024873 Indiana

Profile Details

NPI number 1306933858
LBN Legal business name Greist, Mary Coffey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated May 26th, 2010 - about 14 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 1306933858 NPPES
Indiana Other 000000085208 ANTHEM
Indiana MEDICAID 100060500 ANTHEM

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