Organization
D. E. HENDRICKS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL EWELL HENDRICKS M.D. (OWNER)
(304) 263-6418
Entity
Organization
Contact information
Practice address
407 W KING ST, MARTINSBURG, WV 25401-3203
(304) 263-6418
(304) 267-4932
Mailing address
407 W KING ST, MARTINSBURG, WV 25401-3203
(304) 263-6418
(304) 267-4932
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
08529
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127490000
—
WV
Enumeration date
02/28/2008
Last updated
02/28/2008
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