Grimm, Christina R
Grimm, Christina R is an individual health care provider with primary practice located at 3504 S Lafountain St , Kokomo IN 46902-3803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grimm, Christina R can be contacted via phone (765) 453-6600.Contact Information
Primary practice address
3504 S Lafountain St
Kokomo IN 46902-3803
Phone: (765) 453-6600
Fax: (765) 865-6606
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71003394 | Indiana |
Profile Details
NPI number | 1134437130 |
---|---|
LBN Legal business name | Grimm, Christina R |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 24th, 2010 |
Last updated | Nov 27th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134437130 | NPPES |
Indiana | Other | P01270923 | RR MEDICARE |
Indiana | MEDICAID | 201112780 | RR MEDICARE |
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