Mrs Jan H Henriques, AUD is a
Audiologist-hearing Aid Fitter based in Woodstock, Georgia. Mrs Jan H Henriques is licensed to practice in Georgia (license number 001690) and her current practice location is
203 Woodpark Place, Suite B-100, Woodstock, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 560-4775.
NPI number for Mrs Jan H Henriques is 1730230996 and her current mailing address is 203 Woodpark Place, Suite B-100, Woodstock, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730230996.
Healthcare Provider's Profile
| Full Name | Mrs Jan H Henriques |
|---|
| Gender | Female |
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| Speciality | Audiologist-hearing Aid Fitter |
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| Location | 203 Woodpark Place, Woodstock, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730230996
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 04/30/2014
Medical Identifiers
Medical identifiers for Mrs Jan H Henriques such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730230996 | NPI | - | NPPES |
| 000876752A | Medicaid | GA | |
| 000784506A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 1690 (Georgia) | Secondary |
| 237600000X | Audiologist-hearing Aid Fitter | 001690 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jan H Henriques is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jan H Henriques, AUD
203 Woodpark Place, Suite B-100,
Woodstock, GA 30188
Ph: (770) 560-4775 | Mrs Jan H Henriques, AUD
203 Woodpark Place, Suite B-100,
Woodstock, GA 30188
Ph: (770) 560-4775 |
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