Provider Demographics
NPI:1134151772
Name:TRAIN, HENRY DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:DANIEL
Last Name:TRAIN
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 1:1465 OLD COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1908
Mailing Address - Country:US
Mailing Address - Phone:717-545-8846
Mailing Address - Fax:
Practice Address - Street 1:1465 OLD COLONIAL RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1908
Practice Address - Country:US
Practice Address - Phone:717-545-8846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020555E207VG0400X, 202K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA032285OtherBLUE CROSS BLUE SHIELD
PA01422801OtherCAPITAL BLUE CROSS
PAC28106Medicare UPIN
PA032285OtherBLUE CROSS BLUE SHIELD