Henricks, Eric A

Henricks, Eric A is an individual health care provider with primary practice located at 9899 E 126Th St , Fishers IN 46038-2821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Henricks, Eric A can be contacted via phone (317) 567-2179.

Contact Information

Primary practice address
9899 E 126Th St Fishers IN 46038-2821
Phone: (317) 567-2179
Fax: (317) 567-2191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01031252 Indiana
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01031252A Indiana

Profile Details

NPI number 1063408318
LBN Legal business name Henricks, Eric A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 29th, 2021 - about 5 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 1063408318 NPPES
Indiana MEDICAID 100237560

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