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
Fax: (574) 243-4306
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205824570 NPPES
Indiana MEDICAID 200264590

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