Hendrickson, Jack Ernest
Hendrickson, Jack Ernest is an individual health care provider with primary practice located at 1060 Gaffney Rd Commander, Usa-Meddac-Ak, Attn; Mcuc-Mmd-Qm, Ft Wainwright AK 99703-5001. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Hendrickson, Jack Ernest can be contacted via phone (907) 353-1207.Contact Information
Primary practice address
1060 Gaffney Rd Commander, Usa-Meddac-Ak, Attn; Mcuc-Mmd-Qm
Ft Wainwright AK 99703-5001
Phone: (907) 353-1207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 4735 | Alaska |
Profile Details
| NPI number | 1134191455 |
|---|---|
| LBN Legal business name | Hendrickson, Jack Ernest |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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