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Contact Information

THOMAS J HENKE, DO
625 KENMOOR AVE SE STE 301
GRAND RAPIDS, MI49546-2395
 Phone: 616-916-8063
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for THOMAS J HENKE · (Male)

NPI Number 1922485515
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/03/2015
Last updated 03/22/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5101025584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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