Organization
MAX A HENRY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON CAMERON (OFFICE MANAGER)
(812) 372-4463
Entity
Organization
Contact information
Practice address
825 N LINCOLN ST, GREENSBURG, IN 47240-1330
(812) 663-7222
(812) 663-9559
Mailing address
825 N LINCOLN ST, GREENSBURG, IN 47240-1330
(812) 663-7222
(812) 663-9559
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
01030454A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100052270
—
IN
05
—
200823550B
—
IN
Enumeration date
06/02/2009
Last updated
06/02/2009
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