Organization
MARSHALL MCHENRY,M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL MCHENRY M.D. (OWNER)
(513) 251-9900
Entity
Organization
Contact information
Practice address
4871 PROSPERITY PL, CINCINNATI, OH 45238-4027
(513) 251-9900
(513) 244-3999
Mailing address
4871 PROSPERITY PL, CINCINNATI, OH 45238-4027
(513) 251-9900
(513) 244-3999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35046952
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195243
ANTHEM BCBS
OH
05
—
0570083
—
OH
01
—
DD9897
RAILROAD MEDICARE
OH
Enumeration date
10/16/2006
Last updated
01/18/2008
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