Hyde, Gregory

Hyde, Gregory is an individual health care provider with primary practice located at 285 W 80Th Pl , Merrillville IN 46410-5431. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hyde, Gregory can be contacted via phone (219) 756-6501.

Contact Information

Primary practice address
285 W 80Th Pl Merrillville IN 46410-5431
Phone: (219) 756-6501
Fax: (219) 756-6635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041813A Indiana

Profile Details

NPI number 1235243619
LBN Legal business name Hyde, Gregory
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 14th, 2010 - about 16 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 1235243619 NPPES
Indiana Other 000000356954 ANTHEM BC/BS
Indiana MEDICAID 200462060A ANTHEM BC/BS
Indiana Other 90001221 ANTHEM BC/BS

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