Henderson, Jacqueline
Henderson, Jacqueline is an individual health care provider with primary practice located at 301 W Homer St , Michigan City IN 46360-4358. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Henderson, Jacqueline can be contacted via phone (219) 879-8511.Contact Information
Primary practice address
301 W Homer St
Michigan City IN 46360-4358
Phone: (219) 879-8511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 01059200A | Indiana |
Profile Details
| NPI number | 1366482358 |
|---|---|
| LBN Legal business name | Henderson, Jacqueline |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jun 4th, 2008 - about 16 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.
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