Individual
ROBERT L HEINRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
ARNP9178672
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
CERT # 50404
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000921821
ANTHEM PROVIDER NUMBER
IN
01
—
0F76004
BCBS
MI
05
—
200380170
—
IN
Enumeration date
10/27/2005
Last updated
03/03/2016
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