Tetrick, David L

Tetrick, David L is an individual health care provider with primary practice located at 9669 E 146Th St Suite 310, Noblesville IN 46060-5005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tetrick, David L can be contacted via phone (317) 621-6170.

Contact Information

Primary practice address
9669 E 146Th St Suite 310 Noblesville IN 46060-5005
Phone: (317) 621-6170
Fax: (317) 621-6177
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01035208A Indiana

Profile Details

NPI number 1639183874
LBN Legal business name Tetrick, David L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 27th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639183874 NPPES
Indiana Other 000000659797 ANTHEM
Indiana MEDICAID 100335770 ANTHEM
Indiana Other 000000659374 ANTHEM

Popular Providers