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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104028836 | NPPES |
| Indiana | MEDICAID | 200925250 |
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