Organization
RICHARD A HASTINGS MD
Active
Other names
Bristol Street Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN HASTINGS M.D. (OWNER)
(574) 262-2817
Entity
Organization
Contact information
Practice address
609 W BRISTOL ST, ELKHART, IN 46514-2900
(574) 262-2817
(574) 262-2941
Mailing address
609 W BRISTOL ST, ELKHART, IN 46514-2900
(574) 262-2817
(574) 262-2941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027071A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112380A
—
IN
Enumeration date
12/05/2006
Last updated
06/12/2008
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