Hendricks, Robert E

Hendricks, Robert E is an individual health care provider with primary practice located at 10251 Main St , New Middletown OH 44442-9717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hendricks, Robert E can be contacted via phone (330) 542-2315.

Contact Information

Primary practice address
10251 Main St New Middletown OH 44442-9717
Phone: (330) 542-2315
Fax: (330) 542-9700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OH2094 Ohio

Profile Details

NPI number 1245204817
LBN Legal business name Hendricks, Robert E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1245204817 NPPES
Ohio MEDICAID 0704036

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