Grider, Erin L

Grider, Erin L is an individual health care provider with primary practice located at 2166 S Highway 127 , Russell Springs KY 42642-4010. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Grider, Erin L can be contacted via phone (844) 435-0900.

Contact Information

Primary practice address
2166 S Highway 127 Russell Springs KY 42642-4010
Phone: (844) 435-0900
Fax: (270) 858-4029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 260321 Kentucky

Profile Details

NPI number 1740826940
LBN Legal business name Grider, Erin L
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2019
Last updated May 12th, 2023 - about last year

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 1740826940 NPPES
Other 14578469 CAQH
MEDICAID 7100637730 CAQH

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