Henretig, Robert D

Henretig, Robert D is an individual health care provider with primary practice located at 2180 Johnson Ave Ste A, San Luis Obispo CA 93401-4513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Henretig, Robert D can be contacted via phone (805) 269-1313.

Contact Information

Primary practice address
2180 Johnson Ave Ste A San Luis Obispo CA 93401-4513
Phone: (805) 269-1313
Fax: (805) 269-1387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G16850 California

Profile Details

NPI number 1366463879
LBN Legal business name Henretig, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jan 3rd, 2014 - about 12 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 1366463879 NPPES
Washington MEDICAID 8131633
Washington MEDICAID KFHC71031F

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