Gripe, Amanda Melissa

Gripe, Amanda Melissa is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy B1100, Avon IN 46123-7085. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gripe, Amanda Melissa can be contacted via phone (317) 962-8067.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy B1100 Avon IN 46123-7085
Phone: (317) 962-8067
Fax: (317) 962-3796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01065106A Indiana

Profile Details

NPI number 1104028836
LBN Legal business name Gripe, Amanda Melissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jan 28th, 2021 - about 4 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 1104028836 NPPES
Indiana MEDICAID 200925250

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