Henderson, John Michael

Henderson, John Michael is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Henderson, John Michael can be contacted via phone (601) 815-4700.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216
Phone: (601) 815-4700
Fax: (601) 815-5474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35063394H Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 23977 Mississippi

Profile Details

NPI number 1295771715
LBN Legal business name Henderson, John Michael
Credentials MB, CHB, FRCS(ED), F
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Sep 17th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295771715 NPPES
Ohio MEDICAID 0887296

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