Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 01042427A | IN |
NPI | 1407898570 |
---|---|
Provider Name | Dr. Gregory S. Hellwarth |
First Address | Richmond, IN 47374-1157 |
Second Address | Richmond, IN 47374-8810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 14/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0775853 | (05) | OH |
200009180 | (05) | IN |
F80721 | (02) |