Gruber, Melinda J

Gruber, Melinda J is an individual health care provider with primary practice located at 92 W Christmas Blvd Santa Claus, Santa Claus IN 47579-6044. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gruber, Melinda J can be contacted via phone (812) 937-4120.

Contact Information

Primary practice address
92 W Christmas Blvd Santa Claus Santa Claus IN 47579-6044
Phone: (812) 937-4120
Fax: (812) 937-7074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01045418 Indiana

Profile Details

NPI number 1962449041
LBN Legal business name Gruber, Melinda J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Nov 26th, 2014 - about 10 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 1962449041 NPPES
Indiana Other P00312747 RAILROAD MEDICARE
Indiana MEDICAID 200137470 RAILROAD MEDICARE

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