Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | RBT-20-141294 | IN |
NPI | 1417553280 |
---|---|
Provider Name | Emily Greer |
First Address | Indianapolis, IN 46268-6135 |
Second Address | Kokomo, IN 46902-2587 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2020 |
Last Update Date | 08/12/2020 |