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NPI Code Detail

MEDICARE: ROBERT L HEINRICH CRNA

MEDICARE: ROBERT L HEINRICH CRNA
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
1367500000XCertified Registered Nurse AnesthetistARNP9178672FL
2367500000XCertified Registered Nurse AnesthetistCERT # 50404IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000921821OTHERINANTHEM PROVIDER NUMBER
20F76004OTHERMIBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811987001
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT L HEINRICH CRNA
Provider Business Mailing Address
First Line : PO BOX 5545
Second Line :
City : LAFAYETTE
State : IN
Zip : 47903-5545
Country : US
Telephone Number : 765-448-8000
Fax Number :
Provider Business Practice Location Address
First Line : 2600 GREENBUSH ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2477
Country : US
Telephone Number : 765-448-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 03/03/2016

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