Hentzen, Andrew S

Hentzen, Andrew S is an individual health care provider with primary practice located at 3243 E Murdock St Ste 404 , Wichita KS 67208-3007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hentzen, Andrew S can be contacted via phone (316) 685-6222.

Contact Information

Primary practice address
3243 E Murdock St Ste 404 Wichita KS 67208-3007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 04-37420 Kansas

Profile Details

NPI number 1306007430
LBN Legal business name Hentzen, Andrew S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2008
Last updated Oct 1st, 2021 - about 4 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 1306007430 NPPES
Kansas MEDICAID 201110330

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