Healthcare Provider Details

I. General information

NPI: 1063601870
Provider Name (Legal Business Name): M & H SERVICES,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 1ST ST SE
LINTON IN
47441-1829
US

IV. Provider business mailing address

88 1ST ST SE
LINTON IN
47441-1829
US

V. Phone/Fax

Practice location:
  • Phone: 812-847-4439
  • Fax: 812-847-4430
Mailing address:
  • Phone: 812-847-4439
  • Fax: 812-847-4430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18001738B
License Number StateIN

VIII. Authorized Official

Name: DR. RICHARD E. HALE
Title or Position: OPTOMETRIST
Credential: OD
Phone: 812-847-4439