Provider Demographics
NPI:1073359089
Name:HELFRICH, ROBERT JEROME
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:JEROME
Last Name:HELFRICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5190 POYNTER PASS DR APT 4
Mailing Address - Street 2:
Mailing Address - City:BARGERSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46106-8574
Mailing Address - Country:US
Mailing Address - Phone:812-484-4558
Mailing Address - Fax:
Practice Address - Street 1:5190 POYNTER PASS DR APT 4
Practice Address - Street 2:
Practice Address - City:BARGERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46106-8574
Practice Address - Country:US
Practice Address - Phone:812-484-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program