Hunter, Michael Mark

Hunter, Michael Mark is an individual health care provider with primary practice located at 253 Sagamore Pkwy W , West Lafayette IN 47906-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hunter, Michael Mark can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
253 Sagamore Pkwy W West Lafayette IN 47906-1501
Phone: (765) 448-8000
Fax: (765) 448-7606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01038150A Indiana

Profile Details

NPI number 1609845072
LBN Legal business name Hunter, Michael Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 14th, 2021 - about 4 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 1609845072 NPPES
Indiana Other 000000184666 ANTHEM PROVIDER NUMBER
Indiana Other 9397173 ANTHEM PROVIDER NUMBER
Indiana MEDICAID HU91988035 ANTHEM PROVIDER NUMBER
Indiana Other 10825305 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100262370 ANTHEM PROVIDER NUMBER

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