Individual
ERIC A HENRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9899 E 126TH ST, FISHERS, IN 46038-2821
(317) 567-2179
(317) 567-2191
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01031252
IN
207L00000X
Anesthesiology Physician
Primary
01031252A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100237560
—
IN
Enumeration date
09/22/2005
Last updated
12/29/2021
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