H Carl Moultrie II
Orthopaedic Surgeon
255 E 90th Dr Suite W1
Merrillville
, Indiana 46410
H Carl Moultrie II
Orthopaedic Surgeon
255 E 90th Dr Suite W1
Merrillville
, Indiana 46410
(219) 793-9101
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- H Carl Moultrie II
- Po Box 10727
- Merrillville, IN
- Zip : 46411-0727
- Fax : (219) 793-9101
- Phone : (219) 793-9029
Second Address
- H Carl Moultrie II
- 255 E 90th Dr Suite W1
- Merrillville, IN
- Zip : 46410
- Fax : (219) 793-9101
- Phone : (219) 793-9029
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 01026965A | IN |
National Provider Identifier
| NPI | 1003815598 |
|---|---|
| Provider Name | H Carl Moultrie II |
| First Address | Merrillville, IN 46411-0727 |
| Second Address | Merrillville, IN 46410 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000186722 | ANTHEM (01) | IN |
| 4513204 | AETNA (01) | |
| D69716 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.