ROBERT P HENDRIKSON MD PC; NPI #1518034156

Contact Information

ROBERT P HENDRIKSON MD PC

60 WESTWOOD AVE
SUITE 300
WATERBURY, CT 06708

Phone: 203-755-9166
Fax: 203-755-5932
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for ROBERT P HENDRIKSON MD PC

NPI # 1518034156

LBN Legal business name ROBERT P HENDRIKSON MD PC

Authorized official ROBERT HENDRIKSON - (PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/29/2006

Last updated 07/08/2008 - About 18 years ago

Identifiers

License #

003293

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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