1275516924 NPI number — WILLIAM D.L. HUNT M.D.

Table of content: JULIE HANSEN (NPI 1033345558)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275516924 NPI number — WILLIAM D.L. HUNT M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUNT
Provider First Name:
WILLIAM
Provider Middle Name:
D.L.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275516924
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/05/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
130 S PENN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANHEIM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17545-1749
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-665-2496
Provider Business Mailing Address Fax Number:
717-665-6345

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
130 S PENN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANHEIM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17545-1749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-665-2496
Provider Business Practice Location Address Fax Number:
717-665-6345
Provider Enumeration Date:
11/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  MD019825E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5351076 . This is a "AETNA NON-HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 049325 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 40201 S1QH . This is a "GEISINGER HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 578377 . This is a "AETNA HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0006543090001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: C28407 . This is a "HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0006543090004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01454702 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P002643 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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