Individual
DR. ROBERT A. HENRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2817 NEW PINERY ROAD, PORTAGE, WI 53901-9257
(608) 742-4131
Mailing address
2817 NEW PINERY ROAD, PORTAGE, WI 53901-9257
(608) 742-4131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65243-21
WI
207Q00000X
Family Medicine Physician
H1102
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080161793
RR/MEDICARE
TX
01
—
1010845-01
CSHCN
TX
05
—
1010845-02
—
TX
01
—
807629
BLUE SHIELD
TX
Enumeration date
03/27/2006
Last updated
03/24/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us