Provider Demographics
NPI:1225065931
Name:MCANINCH, HENRY ARTHUR JR (DPM)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:ARTHUR
Last Name:MCANINCH
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 OAKLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-1669
Mailing Address - Country:US
Mailing Address - Phone:864-582-8570
Mailing Address - Fax:864-585-3528
Practice Address - Street 1:184 OAKLAND AVENUE
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1669
Practice Address - Country:US
Practice Address - Phone:864-582-8570
Practice Address - Fax:864-585-3528
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-27
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC55213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP00199572OtherRAILROAD MEDICARE
T24795Medicare UPIN
SCP00199572OtherRAILROAD MEDICARE