Provider Demographics
NPI:1528174182
Name:EPPLIN, EUGENE H (MD)
Entity type:Individual
Prefix:
First Name:EUGENE
Middle Name:H
Last Name:EPPLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 N 7TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47807-1061
Mailing Address - Country:US
Mailing Address - Phone:812-238-7631
Mailing Address - Fax:812-238-7003
Practice Address - Street 1:1530 N 7TH ST STE 200
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47807-1061
Practice Address - Country:US
Practice Address - Phone:812-238-7631
Practice Address - Fax:812-238-7003
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01029794A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110015255OtherRAILROAD MCARE PALAMETTO
IN100251630Medicaid
INP00834926OtherRAILROAD MEDICARE
IN100251630RMedicaid
000000089621OtherANTHEM
INM400055170Medicare PIN
IN187850AMedicare PIN
IN100251630RMedicaid
INP00834926OtherRAILROAD MEDICARE
INM400055175Medicare PIN
IN859910LMedicare PIN
000000089621OtherANTHEM
INM400055167Medicare PIN