KAROL J HENDRICKSON DO PC
NPI 1922236942
Family Medicine - Adult Medicine in Escanaba, MI

Active since June 29, 2009
4669 12TH RD, ESCANABA, MI 49829(906) 786-9391 Get Directions Write a Review

NPPES record last updated: July 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karol J Hendrickson Do Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAROL J HENDRICKSON DO PC (NPI 1922236942) is a healthcare organization registered as an adult medicine in Escanaba, Michigan and active in the NPI registry since June 2009. The organization lists Cynthia R Moore, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1922236942
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameKAROL J HENDRICKSON DO PC
Location Address4669 12TH RDEscanaba, MI 49829-9605
Mailing Address4669 12th RdEscanaba, MI 49829-9605 · (906) 786-9391
Organization SubpartNo
Authorized OfficialCynthia R MooreCredentialing Specialist · (734) 207-5226
Enumeration DateJune 29, 2009
Last NPPES UpdateJuly 30, 2009
NPI 1922236942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License Licensed in MI · 5101012173
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
4669 12TH RD, Escanaba, MI 49829

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4669 12TH RD
ESCANABA, MI 49829

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karol J Hendrickson Do PC's NPI number?

The NPI number for Karol J Hendrickson Do PC is 1922236942. It was assigned to this organization in the NPPES registry on June 29, 2009.

Where is Karol J Hendrickson Do PC located?

Karol J Hendrickson Do PC is located at 4669 12th Rd, Escanaba, MI 49829. The listed phone number is (906) 786-9391.

What is Karol J Hendrickson Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Karol J Hendrickson Do PC was last updated on July 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.