Provider Demographics
NPI:1003829565
Name:HENBEST, PHILIP MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:MICHAEL
Last Name:HENBEST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1930 S FEDERAL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-5501
Mailing Address - Country:US
Mailing Address - Phone:303-935-9142
Mailing Address - Fax:303-934-7332
Practice Address - Street 1:9981 WASHINGTON ST
Practice Address - Street 2:SUITE 21
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-2169
Practice Address - Country:US
Practice Address - Phone:303-252-0488
Practice Address - Fax:303-252-1624
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25418207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01254184Medicaid
CO01254184Medicaid
COA102568Medicare PIN