Andrew Anthony Henneberg in Coeur D Alene - Specialist
Andrew Anthony Henneberg - NPI 1689603847
Andrew Anthony Henneberg is a Specialist in Coeur D Alene, Idaho. Andrew Anthony Henneberg practices all healthcare services and medical treatments related to Specialist. The NPI Number for Andrew Anthony Henneberg is 1689603847. The last update date is 2020-05-14.
Andrew Anthony Henneberg's current location address is 980 W Ironwood Dr, Coeur D Alene, Idaho. You can contact this provider via phone number 2087654888 and fax number 2086678618. The mailing address for Andrew Anthony Henneberg is 980 W Ironwood Dr, Coeur D Alene, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Anthony Henneberg |
|---|---|
| Address | 980 W Ironwood Dr, Coeur D Alene, Idaho |
| Phone Number | 2087654888 |
| Fax Number | 2086678618 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689603847 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2020-05-14 |
Provider Mailing Address Detail
| Address | 980 W Ironwood Dr |
|---|---|
| City | Coeur D Alene |
| State | Idaho (ID) |
| Post Code | 83814 |
| Phone Number | 2087654888 |
| Fax Number | 2086678618 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | M-9485 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 807438700 | ID | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Andrew Anthony Henneberg by the Centers for Medicare & Medicaid Services?
The Andrew Anthony Henneberg has been issued the NPI (National Provider Identifier) 1689603847, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Andrew Anthony Henneberg is physically located?
The Andrew Anthony Henneberg is physically situated at the following address: 980 W Ironwood Dr, Coeur D Alene, ID, 83814.
What is Andrew Anthony Henneberg's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Andrew Anthony Henneberg is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Andrew Anthony Henneberg receive its 1689603847 assignment from the Centers for Medicare & Medicaid Services?
The Andrew Anthony Henneberg was assigned its 1689603847 by the Centers for Medicare & Medicaid Services on 2006-07-01.
As of what date were the Andrew Anthony Henneberg's details last updated?
The information pertaining to the Andrew Anthony Henneberg, including its address, specialty, and other details, was most recently updated on 2020-05-14.
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