Organization
JOHN E HATEGAN, M.D. P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E HATEGAN MD (OWNER)
(812) 883-9121
Entity
Organization
Contact information
Practice address
101 CONNIE AVE, SALEM, IN 47167-2305
(812) 883-9121
(812) 883-2161
Mailing address
101 CONNIE AVE, SALEM, IN 47167-2305
(812) 883-9121
(812) 883-2161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200285990A
—
IN
Enumeration date
05/07/2010
Last updated
05/07/2010
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