Grundy, Howard O

Grundy, Howard O is an individual health care provider with primary practice located at 24 Joliet St , Dyer IN 46311-1705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Grundy, Howard O can be contacted via phone (219) 864-2036.

Contact Information

Primary practice address
24 Joliet St Dyer IN 46311-1705
Phone: (219) 864-2036
Fax: (219) 864-2253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01037603A Indiana
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X ME159626 Florida

Profile Details

NPI number 1871587493
LBN Legal business name Grundy, Howard O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Nov 7th, 2022 - about 2 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 1871587493 NPPES
Indiana MEDICAID 100201440

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