| John E Hategan, M.d. P C | |
|
101 Connie Ave Salem IN 47167-2305 | |
| (812) 883-9121 | |
| (812) 883-2161 |
| Full Name | John E Hategan, M.d. P C |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Connie Ave, Salem, Indiana |
| Authorized Official Name and Position | John E Hategan (OWNER) |
| Authorized Official Contact | 8128839121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John E Hategan, M.d. P C 101 Connie Ave Salem IN 47167-2305 Ph: (812) 883-9121 | John E Hategan, M.d. P C 101 Connie Ave Salem IN 47167-2305 Ph: (812) 883-9121 |
| NPI Number | 1861710303 |
|---|---|
| Provider Enumeration Date | 05/07/2010 |
| Last Update Date | 05/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861710303 | NPI | - | NPPES |
| 200285990A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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