Diane Hunt, MD

Individual provider Active NPI Family Medicine Physician · Westville, IN

NPI 1801808100 · NPPES record last updated Mar 24, 2011

Key facts

NPI
1801808100
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
01061061A (IN)
Practice address
156 Flynn Road
Westville, IN 46391-9491
Phone
(219) 785-7021
Fax
(219) 785-7159
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01061061INMDEmergency Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01061061 IN
Family Medicine Physician 207Q00000X 01061061A IN Yes

Addresses

Primary practice location

156 Flynn Road
Westville, IN 46391-9491

Mailing address

PO Box 1690
La Porte, IN 46352-1690
Phone (219) 326-2312

Other identifiers

IdentifierTypeStateIssuer
200034340MedicaidIN
000000534738OtherINANTHEM, BCBS
000000661174OtherINANTHEM, BCBS, WESTVILLE, NORTH JUDSON

Other providers in Westville, IN

All providers in Westville, IN · Family Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.