Henderson, Jeffrey Lynn
Henderson, Jeffrey Lynn is an individual health care provider with primary practice located at 390 N Main St , Bountiful UT 84010-6046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Henderson, Jeffrey Lynn can be contacted via phone (801) 292-6100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M4145 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 8294005-1205 | Utah |
Profile Details
| NPI number | 1528026978 |
|---|---|
| LBN Legal business name | Henderson, Jeffrey Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Apr 20th, 2017 - about 7 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 | 1528026978 | NPPES |
| Texas | Other | 8V1546 | BCBS |
| Texas | Other | 181360202 | BCBS |
| Texas | MEDICAID | 181360201 | BCBS |
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