Individual provider · Type 1 NPI
Luke Thomas Hentrich
Student in an Organized Health Care Education/Training Program · Herrin, IL
NPI number
1316577836
Active
Practice location
1421 Colombo Dr
Herrin, IL 62948-4402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | S12740 (AL) |
Student in an Organized Health Care Education/Training Program: 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.
About NPI 1316577836
Luke Thomas Hentrich's National Provider Identifier is 1316577836, issued on Jan 23, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Herrin, IL. The record was last updated on Jan 23, 2020.