| J.r. Collip, M.d., Llc. | |
|
219 East Main Street Morristown IN 46161-0438 | |
| (765) 763-0212 | |
| (765) 763-0210 |
| Full Name | J.r. Collip, M.d., Llc. |
|---|---|
| Speciality | General Practice |
| Location | 219 East Main Street, Morristown, Indiana |
| Authorized Official Name and Position | John Ralph Collip (M.D.) |
| Authorized Official Contact | 7657630212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J.r. Collip, M.d., Llc. Po Box 438 219 East Main Street Morristown IN 46161-0438 Ph: (765) 763-0212 | J.r. Collip, M.d., Llc. 219 East Main Street Morristown IN 46161-0438 Ph: (765) 763-0212 |
| NPI Number | 1538440516 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 09/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538440516 | NPI | - | NPPES |
| 2000725208 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 01044478A (Indiana) | Primary |