Dr. Elise M Henricks, MD
Family Medicine in Dorchester, Massachusetts
1154392850- Practice location
- 415 Columbia RD, Dorchester, MA 02125-2424
- Phone
- 617-740-8075
- Fax
- 617-740-8060
- Last updated
- January 9, 2012
Elise Marie Henricks is a Family Medicine based in Dorchester, MA. Elise Marie Henricks practices in Dorchester, MA and has the professional credentials of MD. The NPI Number for Elise Marie Henricks is 1154392850 and holds a License No. 156706 (MA). The current practice location address for Elise Marie Henricks is 415 Columbia RD, Dorchester, MA 02125-2424 and can be reached out via phone at 617-740-8075 and via fax at 617-740-8060.
Provider Profile Details
- NPI Number
- 1154392850
- Provider Name
- Elise Marie Henricks
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 415 Columbia RD, Dorchester, MA 02125-2424
- Phone Number
- 617-740-8075
- Fax Number
- 617-740-8060
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 30, 2006
- Last Update Date
- January 9, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 415 Columbia RD
Dorchester, MA 02125-2424 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02125-2424
- Phone Number
- 617-740-8075
- Fax Number
- 617-740-8060
Provider Business Mailing Address Details
- Address
- 415 Columbia RD
Dorchester, MA 02125-2424 - City
- Dorchester
- State
- MA
- Zip
- 02125-2424
- Phone Number
- 617-740-8075
- Fax Number
- 617-740-8060
License Information
- License Number
- 156706
- License State
- MA
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Dorchester, MA
View all Family Medicine providers in Dorchester →Frequently Asked Questions
What is the NPI number of Dr. Elise M Henricks, MD?
The NPI number of Dr. Elise M Henricks, MD is 1154392850. It was assigned on January 30, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Elise M Henricks, MD?
Dr. Elise M Henricks, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 156706.
Where does Dr. Elise M Henricks, MD practice?
The practice location is 415 Columbia RD, Dorchester, MA 02125-2424. The office can be reached at 617-740-8075 (phone) or 617-740-8060 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154392850 directly on the NPPES registry website.