Provider Demographics
NPI:1962476440
Name:LOVEALL, HAROLD P JR (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:P
Last Name:LOVEALL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2723 S 7TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-3558
Mailing Address - Country:US
Mailing Address - Phone:812-238-1730
Mailing Address - Fax:812-242-1565
Practice Address - Street 1:2723 S 7TH STREET
Practice Address - Street 2:SUITE C
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-3558
Practice Address - Country:US
Practice Address - Phone:812-232-5936
Practice Address - Fax:812-235-1290
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2014-03-07
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Provider Licenses
StateLicense IDTaxonomies
IN01025679A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100250460Medicaid
IN080151015OtherRAILROAD MEDICARE
IN000000093821OtherANTHEM
IN000000093821OtherANTHEM
IN100250460Medicaid