Hastings, Richard Allen

Hastings, Richard Allen is an sole proprietor health care provider with primary practice located at 609 W Bristol St , Elkhart IN 46514-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hastings, Richard Allen can be contacted via phone (574) 262-2817.

Contact Information

Primary practice address
609 W Bristol St Elkhart IN 46514-2900
Fax: (574) 262-2941
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01027071A Indiana

Profile Details

NPI number 1982678769
LBN Legal business name Hastings, Richard Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2006
Last updated Jul 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982678769 NPPES
Indiana MEDICAID 100112380A

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