Mchenry, Michael Andrew
Mchenry, Michael Andrew is an individual health care provider with primary practice located at 2201 Newnan Crossing Blvd E Ste 100 , Newnan GA 30265-2551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Mchenry, Michael Andrew can be contacted via phone (770) 460-4747.Contact Information
Primary practice address
2201 Newnan Crossing Blvd E Ste 100
Newnan GA 30265-2551
Phone: (770) 460-4747
Fax: (678) 673-5102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | J8053 | Texas |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 38084 | Iowa |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 7369 | South Dakota |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 65285 | Georgia |
Profile Details
| NPI number | 1487730628 |
|---|---|
| LBN Legal business name | Mchenry, Michael Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | May 27th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487730628 | NPPES |
| Texas | Other | P00186848 | MEDICARE RAILROAD |
| Texas | Other | 0021RJ | MEDICARE RAILROAD |
| Texas | Other | 8AW792 | MEDICARE RAILROAD |
| Texas | Other | 00648D | MEDICARE RAILROAD |
| Texas | MEDICAID | 1312217-03 | MEDICARE RAILROAD |
| Texas | Other | P01099522 | MEDICARE RAILROAD |
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