Henderson, Bryn Jarald
Henderson, Bryn Jarald is an individual health care provider with primary practice located at 615 E Chapman Ave , Orange CA 92866-1643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henderson, Bryn Jarald can be contacted via phone (714) 639-4012.Contact Information
Primary practice address
615 E Chapman Ave
Orange CA 92866-1643
Phone: (714) 639-4012
Fax: (714) 639-4018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A4401 | California |
Profile Details
| NPI number | 1447296694 |
|---|---|
| LBN Legal business name | Henderson, Bryn Jarald |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Aug 25th, 2020 - about 5 years ago |
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 | 1447296694 | NPPES |
| California | MEDICAID | 020A44010 |
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