Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
GERALD J HENKE
Active
Individual
GERALD J HENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000314A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090292
BLUE CROSS BLUE SHIELD #
IN
05
—
00249940A
—
IN
01
—
351924167
TAX ID #
IN
Enumeration date
04/14/2007
Last updated
01/14/2010
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