Individual
JOHN HITTLE
Active
Individual
JOHN HITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01041331A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112531
ANTHEM PIN #
IN
01
—
110215614
MEDICARE RAILROAD #
IN
05
—
200026730
—
IN
01
—
200311740H
MEDICAID GROUP #
IN
01
—
4398281
AETNA PIN #
IN
Enumeration date
08/15/2005
Last updated
10/08/2010
Update your record
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