Doctor Name: | DR. DOUGLASS STUART HALE |
NPI Number: | 1386623254 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | IN1041382A |
Business Practice Address: | 1633 N Capitol Ave Suite 436 Indianapolis, IN - 462021261 |
Business Phone Number: | 3179626600 |
Business Fax Number: | 3179622049 |
Mailing Address: | 1633 N Capitol Ave, Suite 436 INDIANAPOLIS |
State: | IN |
Postal Code: | 462021261 |
Phone Number: | 3179626600 |
Fax Number: | 3179622049 |
NPI Enumeration Date: | 01/10/2006 |
NPI Last Update Date: | 12/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | IN1041382A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |