Hendricks, Ed Jerald

Hendricks, Ed Jerald is an sole proprietor health care provider with primary practice located at 2510 Douglas Blvd Suite 200, Roseville CA 95661-3300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obesity Medicine, which is considered as his primary health care specialty. Hendricks, Ed Jerald can be contacted via phone (916) 773-1191.

Contact Information

Primary practice address
2510 Douglas Blvd Suite 200 Roseville CA 95661-3300
Phone: (916) 773-1191
Fax: (916) 773-0498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X G22146 California

Profile Details

NPI number 1700220092
LBN Legal business name Hendricks, Ed Jerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2013
Last updated Apr 17th, 2013 - about 12 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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