Sean David Hendricks in Quincy - Retina Specialist
Sean David Hendricks - NPI 1164583084
Sean David Hendricks is a Retina Specialist in Quincy, Illinois. Sean David Hendricks practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Sean David Hendricks is 1164583084. The last update date is 2023-11-27.
Sean David Hendricks's current location address is 1005 Broadway St, Quincy, Illinois. You can contact this provider via phone number 2172238400 and fax number 2172140455. The mailing address for Sean David Hendricks is 1005 Broadway St, Quincy, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sean David Hendricks |
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Address | 1005 Broadway St, Quincy, Illinois |
Phone Number | 2172238400 |
Fax Number | 2172140455 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1164583084 |
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Provider Enumeration Date | 2006-12-13 |
Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
Address | 1005 Broadway St |
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City | Quincy |
State | Illinois (IL) |
Post Code | 623012834 |
Phone Number | 2172238400 |
Fax Number | 2172140455 |
Provider's Primary Taxonomy Detail
Speciality | Retina Specialist |
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Taxonomy | 207Wx0107X |
Licence No | 36147214 |
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
302I182564 | MS | MEDICARE PTAN | |
226767 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sean David Hendricks by the Centers for Medicare & Medicaid Services?
The Sean David Hendricks has been issued the NPI (National Provider Identifier) 1164583084, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Sean David Hendricks is physically located?
The Sean David Hendricks is situated at the following address: 1005 Broadway St, Quincy, IL 623012834.
What is the area of specialization for Sean David Hendricks, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sean David Hendricks is Retina Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 207Wx0107X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164583084 to Sean David Hendricks?
The Sean David Hendricks received its 1164583084 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the information related to Sean David Hendricks most recently updated or refreshed?
The details pertaining to the Sean David Hendricks, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-27.
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