Grimm, Christina R

Grimm, Christina R is an individual health care provider with primary practice located at 3504 S Lafountain St , Kokomo IN 46902-3803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grimm, Christina R can be contacted via phone (765) 453-6600.

Contact Information

Primary practice address
3504 S Lafountain St Kokomo IN 46902-3803
Phone: (765) 453-6600
Fax: (765) 865-6606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71003394 Indiana

Profile Details

NPI number 1134437130
LBN Legal business name Grimm, Christina R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2010
Last updated Nov 27th, 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 1134437130 NPPES
Indiana Other P01270923 RR MEDICARE
Indiana MEDICAID 201112780 RR MEDICARE

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