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
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
Provider Enumeration Date 2005-06-13
Last Updated Date 2008-02-19

Provider Mailing Address Detail

Address 530 S Jackson St
City Louisville
State Kentucky (KY)
Post Code 4020216750
Phone Number 5028525875
Fax Number 5028521754

Provider's Primary Taxonomy Detail

Speciality Body Imaging
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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FAQs about Peter C Hentzen

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.

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