1043352149 NPI number — DR. FINLAY GRIER PH.D.

Table of content: DR. FINLAY GRIER PH.D. (NPI 1043352149)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043352149 NPI number — DR. FINLAY GRIER PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GRIER
Provider First Name:
FINLAY
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043352149
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4524 W 131ST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTFIELD
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46074-9604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-580-4013
Provider Business Mailing Address Fax Number:
317-580-4010

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10585 N MERIDIAN ST
Provider Second Line Business Practice Location Address:
SUITE 340
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46290-1069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-580-4013
Provider Business Practice Location Address Fax Number:
317-580-4010
Provider Enumeration Date:
02/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  20040435A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 163W00000X , with the licence number: R022416 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: R022416 . This is a "REGISTERED NURSE" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".




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