Jeffrey P Hendricks in Grand Rapids - Family Medicine
Jeffrey P Hendricks - NPI 1164446860
Jeffrey P Hendricks is a Family Medicine in Grand Rapids, Michigan. Jeffrey P Hendricks practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeffrey P Hendricks is 1164446860. The last update date is 2007-07-08.
Jeffrey P Hendricks's current location address is 3700 52nd St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6166563700 and fax number 6166563701. The mailing address for Jeffrey P Hendricks is 3700 52nd St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey P Hendricks |
|---|---|
| Address | 3700 52nd St Se, Grand Rapids, Michigan |
| Phone Number | 6166563700 |
| Fax Number | 6166563701 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1164446860 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3700 52nd St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495129637 |
| Phone Number | 6166563700 |
| Fax Number | 6166563701 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | JP075714 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JP075714 | MI | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey P Hendricks by the Centers for Medicare & Medicaid Services?
The Jeffrey P Hendricks has been issued the NPI (National Provider Identifier) 1164446860 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jeffrey P Hendricks is physically located?
The Jeffrey P Hendricks is situated at the following address: 3700 52Nd St Se, Grand Rapids, MI 495129637.
What is Jeffrey P Hendricks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeffrey P Hendricks's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Jeffrey P Hendricks receive the assignment of its 1164446860 from the Centers for Medicare & Medicaid Services?
The Jeffrey P Hendricks was issued its 1164446860 by the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date was the information pertaining to Jeffrey P Hendricks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeffrey P Hendricks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.