Healthcare Provider Details

I. General information

NPI: 1790987634
Provider Name (Legal Business Name): ROBERT F HENRY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 W GRAND AVE
DAYTON OH
45405-4720
US

IV. Provider business mailing address

2776 S DORCHESTER RD
COLUMBUS OH
43221-3036
US

V. Phone/Fax

Practice location:
  • Phone: 937-226-3200
  • Fax:
Mailing address:
  • Phone: 614-488-6710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT FREDRICK HENRY
Title or Position: PRESIDENT
Credential: CRNA
Phone: 614-488-6710