Henderson, Chance Jack
Henderson, Chance Jack is an individual health care provider with primary practice located at 2446 Research Pkwy Ste 200 , Colorado Springs CO 80920-1087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Henderson, Chance Jack can be contacted via phone (719) 623-1050.Contact Information
Primary practice address
2446 Research Pkwy Ste 200
Colorado Springs CO 80920-1087
Phone: (719) 623-1050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | N8660 | Texas |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 036.142192 | Illinois |
| Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | DR.0051822 | Colorado |
Profile Details
| NPI number | 1851503544 |
|---|---|
| LBN Legal business name | Henderson, Chance Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jan 22nd, 2021 - about 4 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 | 1851503544 | NPPES |
| Missouri | MEDICAID | 1851503544 |
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