Mrs Jan H Henriques, AUD in Woodstock, GA - Audiologist-Hearing Aid Fitter

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.

Contact Information

	Mrs Jan H Henriques, AUD
	203 Woodpark Place, Suite B-100, Woodstock, GA 30188
	(770) 560-4775
	(770) 234-6977

Healthcare Provider's Profile

Full Name	Mrs Jan H Henriques
Gender	Female
Speciality	Audiologist-hearing Aid Fitter
Location	203 Woodpark Place, Woodstock, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

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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Mrs Jan H Henriques, AUD - in Woodstock, GA