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
Phone: (574) 335-5000
Fax: (574) 335-0760
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1740222603 | NPPES |
| Indiana | MEDICAID | 100328400H | |
| Indiana | Other | 000000334836 | |
| Indiana | Other | 000000687861 | |
| Indiana | MEDICAID | 100328400 |
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