Organization
WALTER HANCOCK DPM PC
Active
Parent organization
WALTER HANCOCK DPM PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALTER HANCOCK DPM PC
Authorized official
MR. WALTER HANCOCK DPM (DPM)
(812) 477-1821
Entity
Organization
Contact information
Practice address
2042 LINCOLN AVE, EVANSVILLE, IN 47714-1561
(812) 477-1821
(812) 475-0327
Mailing address
2042 LINCOLN AVE, EVANSVILLE, IN 47714-1561
(812) 477-1821
(812) 475-0327
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000330
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042449
ANTHEM BLUE SHEILD
IN
01
—
000000108408
ANTHEM BLUE SHEILD
IN
01
—
0243760002
MEDICARE DME
IN
05
—
100110420 A & B
—
IN
01
—
480068075 A
PALMETTO MEDICARE
IN
Enumeration date
01/22/2007
Last updated
06/17/2011
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