Hennig, Holger

Hennig, Holger is an individual health care provider with primary practice located at 3333 Riverbend Dr , Springfield OR 97477-8800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hennig, Holger can be contacted via phone (541) 222-3154.

Contact Information

Primary practice address
3333 Riverbend Dr Springfield OR 97477-8800
Fax: (541) 222-3359
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD60726694 Washington
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD151763 Oregon
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4739026-1205 Utah

Profile Details

NPI number 1619961398
LBN Legal business name Hennig, Holger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Apr 1st, 2021 - about 3 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 1619961398 NPPES
Oregon MEDICAID 500624959
Oregon MEDICAID 1619961398
Oregon MEDICAID D3869
Oregon Other 47390261201001

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