Hendricks, James Gregory

Hendricks, James Gregory is an individual health care provider with primary practice located at 39000 Bob Hope Dr , Rancho Mirage CA 92270-3221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Hendricks, James Gregory can be contacted via phone (760) 346-8555.

Contact Information

Primary practice address
39000 Bob Hope Dr Rancho Mirage CA 92270-3221
Phone: (760) 346-8555
Fax: (760) 346-8666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G84825 California

Profile Details

NPI number 1710976055
LBN Legal business name Hendricks, James Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Nov 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710976055 NPPES
California MEDICAID 00G848250

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