Individual
DR. DOUGE BARTHELEMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 W 5TH AVE, GARY, GARY, IN 46402-1808
(219) 882-0262
(219) 882-0515
Mailing address
1015 N SHELBY ST, GARY, GARY, IN 46403-1446
(219) 938-0920
(219) 938-0923
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082703
ANTHEM PROVIDER ID NO.
IN
05
—
100160510
—
IN
05
—
200505380
—
IN
Enumeration date
08/17/2006
Last updated
11/25/2020
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