Peter C Hentzen in Louisville - Body Imaging
Peter C Hentzen - NPI 1629072061
Peter C Hentzen is a Body Imaging in Louisville, Kentucky. Peter C Hentzen practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Peter C Hentzen is 1629072061. The last update date is 2008-02-19.
Peter C Hentzen's current location address is 530 S Jackson St, Louisville, Kentucky. You can contact this provider via phone number 5028525875 and fax number 5028521754. The mailing address for Peter C Hentzen is 530 S Jackson St, Louisville, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peter C Hentzen |
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Address | 530 S Jackson St, Louisville, Kentucky |
Phone Number | 5028525875 |
Fax Number | 5028521754 |
Sole Proprietor | N |
Credentials | PHD., M.D. |
NPI Number Detail
NPI Number | 1629072061 |
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Provider Enumeration Date | 2005-06-13 |
Last Updated Date | 2008-02-19 |
Provider Mailing Address Detail
Address | 530 S Jackson St |
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City | Louisville |
State | Kentucky (KY) |
Post Code | 4020216750 |
Phone Number | 5028525875 |
Fax Number | 5028521754 |
Provider's Primary Taxonomy Detail
Speciality | Body Imaging |
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Taxonomy | 2085B0100X |
Licence No | 34143 |
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
49954 | KY | ANTHEM | |
64341431 | KY | -- |
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What is the unique identification code assigned to Peter C Hentzen by the Centers for Medicare & Medicaid Services?
The Peter C Hentzen has been issued the NPI (National Provider Identifier) 1629072061. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Peter C Hentzen?
The Peter C Hentzen is physically situated at 530 S Jackson St, in the city of Louisville, state of KY, with the postal code 4020216750.
What is Peter C Hentzen's area of expertise and its corresponding taxonomy classification?
The Peter C Hentzen's field of specialization is Body Imaging, and it falls under the taxonomy code 2085B0100X, which categorizes healthcare providers based on their areas of practice.
On what date did the Peter C Hentzen receive the assignment of its 1629072061 from the Centers for Medicare & Medicaid Services?
The Peter C Hentzen was issued its 1629072061 by the Centers for Medicare & Medicaid Services on 2005-06-13.
As of what date were the details related to Peter C Hentzen most recently updated or revised?
The information pertaining to Peter C Hentzen, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-19.