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NPI Code Detail

MEDICARE: MICHELLE GRUBBS PIPPINS

MEDICARE: MICHELLE GRUBBS PIPPINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275019531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE GRUBBS PIPPINS
Provider Business Mailing Address
First Line : 117 ASHWOOD AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-2643
Country : US
Telephone Number : 937-673-8951
Fax Number : 937-221-8003
Provider Business Practice Location Address
First Line : 117 ASHWOOD AVE
Second Line :
City : DAYTON
State : OH
Zip : 45405-2643
Country : US
Telephone Number : 937-673-8951
Fax Number : 937-673-8951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2018
Last Update Date : 04/01/2021

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Directions to “ MICHELLE GRUBBS PIPPINS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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