Henke, William C

Henke, William C is an individual health care provider with primary practice located at 1027 Washington Ave , Detroit Lakes MN 56501-3409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henke, William C can be contacted via phone (218) 847-5611.

Contact Information

Primary practice address
1027 Washington Ave Detroit Lakes MN 56501-3409
Phone: (218) 847-5611
Fax: (218) 847-0881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5010 Minnesota

Profile Details

NPI number 1487694493
LBN Legal business name Henke, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487694493 NPPES
Minnesota MEDICAID 281808600
Minnesota Other DA9031015663
Minnesota MEDICAID 16651
Minnesota Other 124772
Minnesota Other 23630HE
Minnesota Other MN100021
Minnesota Other 0106052
Minnesota Other 1277
Minnesota Other 6404
Minnesota Other 598579
Minnesota Other 0122661

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