Individual
DR. JOHN E HATEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 CONNIE AVE, SUITE 206, SALEM, IN 47167-2311
(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
01052717A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200285990A
—
IN
Enumeration date
10/07/2005
Last updated
08/12/2022
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