THOMAS J HENKE D.O. NPI 1922485515

NPI Information

NPI: 1922485515
Provider Name: THOMAS J HENKE, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
625 KENMOOR AVE SE STE 301
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 916-8063
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Thomas J Henke, D.O. is a general practice in Grand Rapids, MI. Thomas J Henke, D.O. NPI is 1922485515. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

625 KENMOOR AVE SE STE 301
GRAND RAPIDS, MI
ZIP 49546-395
Phone: (616) 916-8063

The NPI 1922485515 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/3/2015 and was last updated on 1/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		5101025584	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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