Organization
WHITE COUNTY FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC A HENNEY MD (OWNER PHYSICIAN)
(219) 253-6691
Entity
Organization
Contact information
Practice address
800 N ADAMS ST, MONON, IN 47959
(219) 253-6691
(219) 253-6173
Mailing address
800 N ADAMS ST, PO BOX 748, MONON, IN 47959-0748
(219) 253-6691
(219) 253-6173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100262700A
—
IN
Enumeration date
11/28/2006
Last updated
05/14/2015
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