Hurley, David L

Hurley, David L is an individual health care provider with primary practice located at 1260 E State Road 205 , Columbia City IN 46725-9492. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hurley, David L can be contacted via phone (260) 248-9411.

Contact Information

Primary practice address
1260 E State Road 205 Columbia City IN 46725-9492
Phone: (260) 248-9411
Fax: (260) 248-9135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01031922 Indiana

Profile Details

NPI number 1801879986
LBN Legal business name Hurley, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801879986 NPPES
Ohio MEDICAID 2517057
Ohio Other 000000082543
Ohio MEDICAID 104874516
Ohio Other 000000010122
Ohio MEDICAID 100263130

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