Individual
ANN LOUISE HENELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1301 BERTHA HOWE AVE, SUITE 8, MESQUITE, NV 89027-7502
(702) 346-1700
(702) 346-3563
Mailing address
1301 BERTHA HOWE AVE, SUITE 8, MESQUITE, NV 89027-7502
(702) 346-1700
(702) 346-3563
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
AH010464
MI
208600000X
Surgery Physician
Primary
DO1535
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020026511
RAILROAD MEDICARE
MI
01
—
0250306465
BCBS MI PROV #
MI
01
—
17-31077
PHP PROVIDER #
MI
01
—
1836555
UNITED HEALTHCARE
MI
01
—
21618
HEALTH PLAN OF MI
MI
05
—
3013361
—
MI
01
—
9961
COMMUNITY CHOICE MI
MI
01
—
AH010464
STATE LICENSE #
MI
01
—
P82550
BLUE CARE NETWORK
MI
Enumeration date
11/07/2005
Last updated
05/17/2010
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