| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARK HENIN | 1588300016 | 2022-05-08 |
Mark Henin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1588300016. Registration indicates Mark Henin is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Mark Henin |
| Practice Office Address | 10 WHITTIER DR MANALAPAN, NJ US |
| Practice Office Telephone | 7327717734 |
| Mailing Address | 10 WHITTIER DR MANALAPAN, NJ 077263720 US |
| Business Telephone | 7327717734 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |