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ALOYSIUS J HUMBERT III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(888) 484-3258
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(877) 668-5621

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01052587A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000112260
ANTHEM
IN
01
000000668256
ANTHEM PTAN
IN
05
200289190
IN
01
M400020158
MEDICARE PTAN
IN
Enumeration date
08/30/2006
Last updated
03/12/2025
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