Hendricks, Edward Mack
Hendricks, Edward Mack is an individual health care provider with primary practice located at 1181 Paddock Rd , Smyrna DE 19977-9679. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hendricks, Edward Mack can be contacted via phone (302) 653-9261.Contact Information
Primary practice address
1181 Paddock Rd
Smyrna DE 19977-9679
Phone: (302) 653-9261
Fax: (302) 659-6887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | LG-0000616 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R159470 | Maryland |
Profile Details
| NPI number | 1407190309 |
|---|---|
| LBN Legal business name | Hendricks, Edward Mack |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Nov 15th, 2012 - 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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