Correll, Gregory
Correll, Gregory is an sole proprietor health care provider with primary practice located at 9904 Ridgeway Ct , Mc Cordsville IN 46055-9790. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Correll, Gregory can be contacted via phone (317) 335-3871.Contact Information
Primary practice address
9904 Ridgeway Ct
Mc Cordsville IN 46055-9790
Phone: (317) 335-3871
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 20040294A | Indiana |
Profile Details
| NPI number | 1326045063 |
|---|---|
| LBN Legal business name | Correll, Gregory |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Sep 30th, 2009 - about 17 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 | 1326045063 | NPPES |
| Indiana | MEDICAID | 200018970A |
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