1356325625 NPI number — STEVEN C HENRICKS MD

Table of content: STEVEN C HENRICKS MD (NPI 1356325625)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356325625 NPI number — STEVEN C HENRICKS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HENRICKS
Provider First Name:
STEVEN
Provider Middle Name:
C
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356325625
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/09/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24 FRONT STREET
Provider Second Line Business Mailing Address:
SUITE #307
Provider Business Mailing Address City Name:
EXETER
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03833
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-658-1777
Provider Business Mailing Address Fax Number:
603-658-1333

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24 FRONT STREET
Provider Second Line Business Practice Location Address:
#307
Provider Business Practice Location Address City Name:
EXETER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-658-1777
Provider Business Practice Location Address Fax Number:
603-658-1333
Provider Enumeration Date:
12/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  9865 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 231980000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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