Greven, Damon E

Greven, Damon E is an individual health care provider with primary practice located at 672 County Road 64 , Garrett IN 46738-9754. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Greven, Damon E can be contacted via phone (260) 466-7349.

Contact Information

Primary practice address
672 County Road 64 Garrett IN 46738-9754
Phone: (260) 466-7349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002515A Indiana

Profile Details

NPI number 1245428366
LBN Legal business name Greven, Damon E
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Jan 5th, 2022 - about 4 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 1245428366 NPPES
Ohio MEDICAID 0748972
Ohio Other 000000566036
Ohio MEDICAID 200879230
Ohio MEDICAID 100081380
Ohio MEDICAID 2788354
Ohio Other P00664349

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