Healthcare Provider Details
I. General information
NPI: 1528174604
Provider Name (Legal Business Name): RICHARD LEWIS HINCHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6756 MCFARLAND RD
INDIANAPOLIS IN
46227-7718
US
IV. Provider business mailing address
6756 MCFARLAND RD
INDIANAPOLIS IN
46227-7718
US
V. Phone/Fax
- Phone: 317-442-0123
- Fax: 317-786-7381
- Phone: 317-442-0123
- Fax: 317-786-7381
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | 01029932 |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: