Hauch, Thomas L

Hauch, Thomas L is an individual health care provider with primary practice located at 53822 Generations Dr , South Bend IN 46635-1543. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Hauch, Thomas L can be contacted via phone (574) 233-3711.

Contact Information

Primary practice address
53822 Generations Dr South Bend IN 46635-1543
Fax: (574) 288-1702
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 01031702A Indiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01031702A Indiana

Profile Details

NPI number 1023017902
LBN Legal business name Hauch, Thomas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 12th, 2017 - about 7 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 1023017902 NPPES
Indiana Other 000000550278 ANTHEM
Indiana MEDICAID 200883090A ANTHEM
Indiana Other 000000085337 ANTHEM
Indiana MEDICAID 1785780 ANTHEM
Indiana MEDICAID 100223500 ANTHEM

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