Healthcare Provider Details

I. General information

NPI: 1811156755
Provider Name (Legal Business Name): WILLIAM TATE HUTCHINS M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 06/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MITCHELL AVE
BATESVILLE IN
47006-8909
US

IV. Provider business mailing address

321 MITCHELL AVE
BATESVILLE IN
47006-8909
US

V. Phone/Fax

Practice location:
  • Phone: 812-934-5995
  • Fax: 812-934-3724
Mailing address:
  • Phone: 812-934-5995
  • Fax: 812-934-3724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number01037442
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: