Henderson, Jenifer Lee
Henderson, Jenifer Lee is an individual health care provider with primary practice located at 2011 Nw Myhre Pl , Silverdale WA 98383-8561. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as her primary health care specialty. Henderson, Jenifer Lee can be contacted via phone (360) 830-1755.Contact Information
Primary practice address
2011 Nw Myhre Pl
Silverdale WA 98383-8561
Phone: (360) 830-1755
Fax: (360) 830-1782
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck | 2082S0099X | MD00037936 | Washington |
Profile Details
NPI number | 1366574501 |
---|---|
LBN Legal business name | Henderson, Jenifer Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 12th, 2007 |
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 | 1366574501 | NPPES |
Washington | MEDICAID | 8252181 | |
Washington | Other | 8918HE | |
Washington | Other | 242391 |
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