Healthcare Provider Details

I. General information

NPI: 1568402667
Provider Name (Legal Business Name): HENRY WILLIAM ALBERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 02/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CHILDRENS PLZ
DAYTON OH
45404-1898
US

IV. Provider business mailing address

1 CHILDRENS PLZ
DAYTON OH
45404-1898
US

V. Phone/Fax

Practice location:
  • Phone: 937-641-3010
  • Fax: 937-641-5003
Mailing address:
  • Phone: 937-641-3010
  • Fax: 937-641-5003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35074754A
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number35074754A
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: