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
Phone: (419) 422-6190
Fax: (419) 423-3235
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255332987 | NPPES |
Ohio | MEDICAID | 0277276 | |
Ohio | Other | 000000129596 | |
Ohio | Other | 4281257 | |
Ohio | Other | 037324 |
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