Hendrickson, Brian L

Hendrickson, Brian L is an individual health care provider with primary practice located at 2405 N Columbus St Suite 280, Lancaster OH 43130-8185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hendrickson, Brian L can be contacted via phone (740) 689-4470.

Contact Information

Primary practice address
2405 N Columbus St Suite 280 Lancaster OH 43130-8185
Fax: (740) 808-8157
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34006558 Ohio

Profile Details

NPI number 1710961412
LBN Legal business name Hendrickson, Brian L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Oct 5th, 2016 - about 8 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 1710961412 NPPES
Ohio MEDICAID 2484824

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