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Individual

JAMES F. HANUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
216 S. STATE STREET, SOUTH WHITLEY, IN 46787-1300
(260) 272-4484
(260) 272-4485
Mailing address
216 S. STATE STREET, SOUTH WHITLEY, IN 46787-1300
(260) 272-4484
(260) 272-4485

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000545A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000111793
ANTHEM
IN
01
000000570542
ANTHEM
IN
01
00001076487 03
UNITED HEALTHCARE
05
100263030
IN
01
1373
PHYSICIANS HEALTH PLAN
IN
01
3937240019
MEDICARE DMEPOS
IN
01
3937240025
MEDICARE DMEPOS
IN
01
4047116
AETNA
Enumeration date
12/15/2005
Last updated
04/23/2014
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