Individual
DR. MARIKA L HENEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
590 COURT ST, DARTMOUTH-HITCHCOCK KEENE, KEENE, NH 03431-1719
(603) 354-5400
(603) 354-6562
Mailing address
590 COURT ST, DARTMOUTH-HITCHCOCK KEENE, KEENE, NH 03431-1719
(603) 354-5400
(603) 354-6562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12113
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP05493NH01
ANTHEM
NH
01
—
2139345
CIGNA
NH
01
—
222594672
UNITED HEALTH CARE
NH
01
—
3422158
AETNA
NH
01
—
373963
MVP HEALTHCARE
NH
05
—
80300001
—
NH
01
—
AA3742
HARVARD PILGRIM
NH
Enumeration date
06/16/2005
Last updated
09/22/2017
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