Individual
COLLEEN E HENLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11094
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000012124
BLUE CROSS
AL
05
—
000012124
—
AL
01
—
010033CC71442
SECTION 1011
AL
01
—
050003890
RAILROAD MEDICARE
AL
01
—
051511533
BLUE CROSS
AL
01
—
900938800
FLORIDA MEDICAID
FL
01
—
C71442
VIVA
AL
Enumeration date
06/23/2006
Last updated
07/05/2011
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