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NPI Code Detail

MEDICARE: TERRY C GEHLHAUSEN D.O.

MEDICARE: TERRY C GEHLHAUSEN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician02000730AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000042749OTHERINBCBS #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861479743
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY C GEHLHAUSEN D.O.
Provider Business Mailing Address
First Line : PO BOX 1510
Second Line :
City : EVANSVILLE
State : IN
Zip : 47706-1510
Country : US
Telephone Number : 812-749-6187
Fax Number : 812-749-4966
Provider Business Practice Location Address
First Line : 1204 WILLIAMS ST
Second Line :
City : OAKLAND CITY
State : IN
Zip : 47660-1001
Country : US
Telephone Number : 812-749-6187
Fax Number : 812-749-4966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 01/03/2013

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