Mr. Douglas Edwin Henrich
Allergist & Immunologist Otolaryngologist (ENT Doctor) Allergist
1225 S Gear Ave Ste 255
West Burlington
, Iowa 52655-1687
Mr. Douglas Edwin Henrich
Allergist & Immunologist Otolaryngologist (ENT Doctor) Allergist
1225 S Gear Ave Ste 255
West Burlington
, Iowa 52655-1687
(319) 753-1084
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About
Features
Specialties
- Allergist & Immunologist
- Allergist
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Mr. Douglas Edwin Henrich
- 1225 S Gear Ave Ste 255
- West Burlington, IA
- Zip : 52655-1687
- Fax : (319) 753-1084
- Phone : (319) 752-2725
Second Address
- Mr. Douglas Edwin Henrich
- 1225 S Gear Ave Ste 255
- West Burlington, IA
- Zip : 52655-1687
- Fax : (319) 753-1084
- Phone : (319) 752-2725
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207K00000X | Allergist & Immunologist | 31549 | IA |
| N | 207KA0200X | Allergist | 31549 | IA |
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 31549 | IA |
National Provider Identifier
| NPI | 1588634414 |
|---|---|
| Provider Name | Mr. Douglas Edwin Henrich |
| First Address | West Burlington, IA 52655-1687 |
| Second Address | West Burlington, IA 52655-1687 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2006 |
| Last Update Date | 24/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0151092 | (05) | IA |
| 58619 | WELLMARK # (01) | IA |
| F71423 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.