Grellmann, David Charles
Grellmann, David Charles is an individual health care provider with primary practice located at 6913 N Main St , Granger IN 46530-9601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grellmann, David Charles can be contacted via phone (574) 647-1500.Contact Information
Primary practice address
6913 N Main St
Granger IN 46530-9601
Phone: (574) 647-1500
Fax: (574) 243-4306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01052373A | Indiana |
Profile Details
| NPI number | 1205824570 |
|---|---|
| LBN Legal business name | Grellmann, David Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Apr 28th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205824570 | NPPES |
| Indiana | MEDICAID | 200264590 |
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