Individual
JOHN HITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEMORIAL SQ STE 305, GREENFIELD, IN 46140-3308
(317) 462-6662
(317) 468-6275
Mailing address
PO BOX 129, GREENFIELD, IN 46140-0129
(317) 468-6270
(317) 468-6268
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
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