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NPI Code Detail

MEDICARE: ANN LOUISE HENELT DO

MEDICARE: ANN LOUISE HENELT DO
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
1208600000XSurgery PhysicianAH010464MI
2208600000XSurgery PhysicianDO1535NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1020026511OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P82550OTHERMIBLUE CARE NETWORK
317-31077OTHERMIPHP PROVIDER #
49961OTHERMICOMMUNITY CHOICE MI
5AH010464OTHERMISTATE LICENSE #
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
70250306465OTHERMIBCBS MI PROV #
81836555OTHERMIUNITED HEALTHCARE
921618OTHERMIHEALTH PLAN OF MI

General Provider Information

NPI Number : 1447231642
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN LOUISE HENELT DO
Provider Business Mailing Address
First Line : 1301 BERTHA HOWE AVE
Second Line : SUITE 8
City : MESQUITE
State : NV
Zip : 89027-7502
Country : US
Telephone Number : 702-346-1700
Fax Number : 702-346-3563
Provider Business Practice Location Address
First Line : 1301 BERTHA HOWE AVE
Second Line : SUITE 8
City : MESQUITE
State : NV
Zip : 89027-7502
Country : US
Telephone Number : 702-346-1700
Fax Number : 702-346-3563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 05/17/2010

Similar Medicare Providers

1356337547 — DR. MARIA FRANCIS SCHNITZER M.D.
Practice Location Address:
1301 BERTHA HOWE AVE , STE. 1
MESQUITE, NV
89027-7502
Practice Phone: 702-346-0800
Practice Fax: 702-346-0801
1891784369 — DR. MERRILL C HORNE M.D.
Practice Location Address:
1301 BERTHA HOWE AVE , SUITE 1
MESQUITE, NV
89027-7502
Practice Phone: 702-346-0800
Practice Fax: 702-346-0801
1922080019 — LEO F BLACK JR. D.C.
Practice Location Address:
1301 BERTHA HOWE AVE , SUITE 1
MESQUITE, NV
89027-7502
Practice Phone: 702-346-0800
Practice Fax: 702-346-0801
1720060890 — MESQUITE MEDICAL ASSOCIATES
Practice Location Address:
1301 BERTHA HOWE AVE , SUITE 1
MESQUITE, NV
89027-7502
Practice Phone: 702-346-0800
Practice Fax: 702-346-0801
1588646665 — PROF. NELLADEE STREET F.N.P.
Practice Location Address:
1301 BERTHA HOWE AVE , SUITE 1
MESQUITE, NV
89027-7502
Practice Phone: 702-346-0800
Practice Fax: 702-346-0801
1184606279 — ENRIQUE ALFARO M.D.
Practice Location Address:
1301 BERTHA HOWE AVE , SUITE 1
MESQUITE, NV
89027-7502
Practice Phone: 702-346-0800
Practice Fax: 702-346-0801

Directions to “ ANN LOUISE HENELT DO” Practice Location

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