Henning, Douglas A

Henning, Douglas A is an individual health care provider with primary practice located at 1925 Huntley Rd , West Dundee IL 60118-9301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Henning, Douglas A can be contacted via phone (815) 338-6600.

Contact Information

Primary practice address
1925 Huntley Rd West Dundee IL 60118-9301
Fax: (847) 428-7425
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-090769 Illinois

Profile Details

NPI number 1316017155
LBN Legal business name Henning, Douglas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Sep 20th, 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 1316017155 NPPES
Wisconsin Other HENNIDOU MERCYCARE INSURANCE
Wisconsin MEDICAID 036090769 2 MERCYCARE INSURANCE
Wisconsin Other 1316017155 MERCYCARE INSURANCE

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