Groninger, Elizabeth A

Groninger, Elizabeth A is an individual health care provider with primary practice located at 900 Edwards Dr , Plainfield IN 46168-5680. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Groninger, Elizabeth A can be contacted via phone (317) 839-2368.

Contact Information

Primary practice address
900 Edwards Dr Plainfield IN 46168-5680
Phone: (317) 839-2368
Fax: (317) 839-1267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002476 Indiana

Profile Details

NPI number 1710991849
LBN Legal business name Groninger, Elizabeth A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 22nd, 2019 - about 5 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 1710991849 NPPES
Indiana Other 11478976 CAQH
Indiana Other 000000083757 CAQH

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