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Luke Thomas Hentrich
Student in an Organized Health Care Education/Training Program in Herrin, Illinois
NPI 1316577836

Luke Thomas Hentrich is a Student in an Organized Health Care Education/Training Program based in Herrin, IL. Luke Thomas Hentrich practices in Herrin, IL. The NPI Number for Luke Thomas Hentrich is 1316577836 and holds a License No. S12740 (Illinois).

The current practice location address for Luke Thomas Hentrich is 1421 Colombo Dr, Herrin, IL and can be reached out via phone at 618-364-5576.

Location: 1421 Colombo Dr, Herrin, IL, 62948-4402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316577836
Provider Name
Luke Thomas Hentrich
Credential
Provider Entity Type
Individual
Gender
Male
Address
1421 Colombo Dr, Herrin, IL, 62948-4402
Phone Number
618-364-5576
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1421 Colombo Dr
City
Herrin
State
Illinois
Zip
62948-4402
Phone Number
618-364-5576
Fax Number
person
Provider Business Mailing Address Details
Address
1421 Colombo Dr
City
Herrin
State
Illinois
Zip
62948-4402
Phone Number
618-364-5576
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S12740 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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