Hendrickson, Jay A

Hendrickson, Jay A is an individual health care provider with primary practice located at 729 Sunrise Ave Ste 602 , Roseville CA 95661-4542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Hendrickson, Jay A can be contacted via phone (916) 953-7571.

Contact Information

Primary practice address
729 Sunrise Ave Ste 602 Roseville CA 95661-4542
Phone: (916) 953-7571
Fax: (916) 771-8515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X G83722 California

Profile Details

NPI number 1457304016
LBN Legal business name Hendrickson, Jay A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Dec 12th, 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 1457304016 NPPES
California Other G83722 LICENSE

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