Individual
DR. FREDERIC ALAN HENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 S 6TH ST, SUITE D, MONTICELLO, IN 47960-8201
(574) 583-6446
(574) 583-3060
Mailing address
810 S 6TH ST, SUITE D, MONTICELLO, IN 47960-8201
(574) 583-6446
(574) 583-3060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01030491
IN
207Q00000X
Family Medicine Physician
Primary
01030491
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080004174
MEDICARE RAILROAD
IN
05
—
100079510
—
IN
Enumeration date
07/25/2006
Last updated
07/24/2009
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