Wahle, Gregory R

Wahle, Gregory R is an individual health care provider with primary practice located at 12188A N Meridian St Suite # 200, Carmel IN 46032-4578. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wahle, Gregory R can be contacted via phone (317) 564-5100.

Contact Information

Primary practice address
12188A N Meridian St Suite # 200 Carmel IN 46032-4578
Phone: (317) 564-5100
Fax: (317) 564-5556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01040415A Indiana

Profile Details

NPI number 1215943683
LBN Legal business name Wahle, Gregory R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Mar 17th, 2021 - about 3 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 1215943683 NPPES
Indiana Other 200288740 MEDICAID GROUP NUMBER
Indiana Other 1487680518 MEDICAID GROUP NUMBER
Indiana MEDICAID 100319050 MEDICAID GROUP NUMBER
Indiana Other 340019239 MEDICAID GROUP NUMBER
Indiana Other 000000198907 MEDICAID GROUP NUMBER
Indiana Other 100194370 MEDICAID GROUP NUMBER

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