Organization
J.R. COLLIP, M.D., LLC.
Active
Parent organization
J.R. COLLIP, M.D., LLC.
Other names
Morristown - Greenfield Family Medicine, Dr Collip
Organization subpart
Yes
Provider details
NPI number
Legal business name
J.R. COLLIP, M.D., LLC.
Authorized official
JOHN RALPH COLLIP M.D. (M.D.)
(765) 763-0212
Entity
Organization
Contact information
Practice address
219 EAST MAIN STREET, MORRISTOWN, IN 46161-0438
(765) 763-0212
(765) 763-0210
Mailing address
PO BOX 438, 219 EAST MAIN STREET, MORRISTOWN, IN 46161-0438
(765) 763-0212
(765) 763-0210
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01044478A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000725208
—
IN
Enumeration date
09/02/2011
Last updated
09/02/2011
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