Individual
DR. RICHARD ALLEN HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
609 W BRISTOL ST, ELKHART, IN 46514-2900
(574) 262-2817
(574) 262-2941
Mailing address
54182 LAGUNA DR, BRISTOL, IN 46507-9684
(574) 307-0719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01027071A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112380A
—
IN
Enumeration date
02/16/2006
Last updated
07/26/2012
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