Individual
DR. DAVID J HILLHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1701 N SENATE BLVD, DG 412, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
Mailing address
250 N SHADELAND AVE, SUITE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02004234A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000835621
ANTHEM PIN
IN
05
—
201102520
—
IN
Enumeration date
05/19/2012
Last updated
02/25/2015
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