Hendricks, Sean David
Hendricks, Sean David is an individual health care provider with primary practice located at 4800 Maine St , Quincy IL 62305-5875. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Hendricks, Sean David can be contacted via phone (217) 223-8400.Contact Information
Primary practice address
4800 Maine St
Quincy IL 62305-5875
Phone: (217) 223-8400
Fax: (217) 214-0455
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 20248 | Mississippi |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 42382 | Tennessee |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 026330 | Louisiana |
Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 036147214 | Illinois |
Profile Details
NPI number | 1164583084 |
---|---|
LBN Legal business name | Hendricks, Sean David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Nov 27th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164583084 | NPPES |
Mississippi | Other | 302I182564 | MEDICARE PTAN |
Mississippi | MEDICAID | 00226767 | MEDICARE PTAN |
Popular Providers
-
Kayser, Denise
3536 Mendocino Ave Ste 380, Santa Rosa CA 95403-3612 -
Faber, David Wayne
4400 S 700 E Ste 200, Salt Lake City UT 84107-3000 -
Charles, Steve T
1432 Kimbrough Rd , Germantown TN 38138-2405 -
Blice, Jeffrey P.
171 Ashley Ave , Charleston SC 29425-8908 -
Amin, Haris Irfan
780 Route 37 W Ste 200, Toms River NJ 08755-5059 -
Hatfield, Richard Mark
331 Laidley St Ste 301, Charleston WV 25301-1605 -
Hunt, David J
331 Laidley St Ste 301, Charleston WV 25301-1605 -
Piper, Heidi Clare
325 West St , Canandaigua NY 14424-1723