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NPI Code Detail

MEDICARE: DR. SHELDON D. HENRY M.D.

MEDICARE: DR. SHELDON D. HENRY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianMD044486EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295704609
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELDON D. HENRY M.D.
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line : CREDENTIALS DETP
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number :
Provider Business Practice Location Address
First Line : 132 ABIGAIL LN
Second Line :
City : PORT MATILDA
State : PA
Zip : 16870-7153
Country : US
Telephone Number : 814-272-7100
Fax Number : 814-272-6501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 01/20/2025

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