Individual
DIANE HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
156 FLYNN ROAD, WESTVILLE, IN 46391-9491
(219) 785-7021
(219) 785-7159
Mailing address
PO BOX 1690, LA PORTE, IN 46352-1690
(219) 326-2312
(219) 326-2584
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01061061
IN
207Q00000X
Family Medicine Physician
Primary
01061061A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000534738
ANTHEM, BCBS
IN
01
—
000000661174
ANTHEM, BCBS, WESTVILLE, NORTH JUDSON
IN
05
—
200034340
—
IN
Enumeration date
08/13/2006
Last updated
03/24/2011
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