Tripp, Eric

Tripp, Eric is an individual health care provider with primary practice located at 5215 Holy Cross Parkway , Mishawaka IN 46545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Tripp, Eric can be contacted via phone (574) 335-5000.

Contact Information

Primary practice address
5215 Holy Cross Parkway Mishawaka IN 46545
Fax: (574) 335-0760
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301102003 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01040707 Indiana

Profile Details

NPI number 1740222603
LBN Legal business name Tripp, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 23rd, 2018 - about 6 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 1740222603 NPPES
Indiana MEDICAID 100328400H
Indiana Other 000000334836
Indiana Other 000000687861
Indiana MEDICAID 100328400

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