Individual
JOSEPH A HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 715-6444
(317) 948-7055
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10000403
IN
363A00000X
Physician Assistant
Primary
10000403A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003759
—
IN
01
—
P01119568
RAILROAD MEDICARE
IN
Enumeration date
10/05/2006
Last updated
06/03/2025
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