Hentzen, Peter C

Hentzen, Peter C is an individual health care provider with primary practice located at 530 S Jackson St # C07, Louisville KY 40202-1675. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Hentzen, Peter C can be contacted via phone (502) 852-5875.

Contact Information

Primary practice address
530 S Jackson St # C07 Louisville KY 40202-1675
Phone: (502) 852-5875
Fax: (502) 852-1754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 34143 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34143 Kentucky

Profile Details

NPI number 1629072061
LBN Legal business name Hentzen, Peter C
Credentials PHD., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Feb 19th, 2008 - about 16 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 1629072061 NPPES
Kentucky Other 000000049954 ANTHEM
Kentucky MEDICAID 64341431 ANTHEM

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