Griffin, Carl D

Griffin, Carl D is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Griffin, Carl D can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax: (765) 448-8702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 01030600A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01030600A Indiana

Profile Details

NPI number 1578532305
LBN Legal business name Griffin, Carl D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 23rd, 2012 - about 12 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 1578532305 NPPES
Indiana Other 000000197993 ANTHEM PROVIDER NUMBER
Indiana MEDICAID GR15376011 ANTHEM PROVIDER NUMBER
Indiana Other 10825175 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100085950 ANTHEM PROVIDER NUMBER
Indiana Other 9397093 ANTHEM PROVIDER NUMBER

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