Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | RL10511 | ND |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 01067774A | IN |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 11830 | ND |
NPI | 1255521092 |
---|---|
Provider Name | George Hoyek |
First Address | Indianapolis, IN 46250-2805 |
Second Address | Noblesville, IN 46060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 22/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201279610 | (05) | IN |
P01678707 | MEDICARE RR (01) | IN |