Provider Demographics
NPI:1790779486
Name:SEMPLE, HENRY CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:CHRISTOPHER
Last Name:SEMPLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 DAUPHIN ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-2457
Mailing Address - Country:US
Mailing Address - Phone:251-473-1900
Mailing Address - Fax:251-470-8943
Practice Address - Street 1:2880 DAUPHIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-2457
Practice Address - Country:US
Practice Address - Phone:251-473-1900
Practice Address - Fax:251-470-8943
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00015365207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00117805Medicaid
AL51506760OtherBLUE CROSS AL PROVIDER #
AL51531198OtherBLUE CROSS AL PROVIDER #
AL51514250OtherBLUE CROSS AL PROV #
ALE24829OtherHEALTHSPRING PROVIDER #
AL4125670OtherAETNA PROVIDER #
AL51034509OtherBLUE CROSS PROVIDER #
AL51506759OtherBLUE CROSS AL PROVIDER #
AL0810062OtherUNITED HEALTHCARE PROV. #
AL51034509OtherBLUE CROSS PROVIDER #