SearchIndiana101YM0800X

Craig Hennecke

NPI 1366372583 · on the registry since 2026 · sole proprietor

Practice

Address
7870 Barlum Dr
Indianapolis, IN 46240
Phone
(503) 475-1019

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana