Hendershot, Jack Gg

Hendershot, Jack Gg is an individual health care provider with primary practice located at 15840 Medical Drive South Suite A, Findlay OH 45840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hendershot, Jack Gg can be contacted via phone (419) 422-6190.

Contact Information

Primary practice address
15840 Medical Drive South Suite A Findlay OH 45840
Fax: (419) 423-3235
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 37324 Ohio

Profile Details

NPI number 1255332987
LBN Legal business name Hendershot, Jack Gg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255332987 NPPES
Ohio MEDICAID 0277276
Ohio Other 000000129596
Ohio Other 4281257
Ohio Other 037324

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