Henry, Max Alan

Henry, Max Alan is an sole proprietor health care provider with primary practice located at 1930 Doctors Park Dr , Columbus IN 47203-2219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Henry, Max Alan can be contacted via phone (812) 372-4463.

Contact Information

Primary practice address
1930 Doctors Park Dr Columbus IN 47203-2219
Phone: (812) 372-4463
Fax: (812) 372-2802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01030454 Indiana

Profile Details

NPI number 1295755841
LBN Legal business name Henry, Max Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Apr 24th, 2014 - about 11 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 1295755841 NPPES
Indiana MEDICAID 100052270
Indiana MEDICAID 200823550A
Indiana MEDICAID 200823550B

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