Hendrie, Jennie G
Hendrie, Jennie G is an individual health care provider with primary practice located at 10004 204Th Ave E Suite 1300, Bonney Lake WA 98391-6535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hendrie, Jennie G can be contacted via phone (253) 848-8797.Contact Information
Primary practice address
10004 204Th Ave E Suite 1300
Bonney Lake WA 98391-6535
Phone: (253) 848-8797
Fax: (253) 826-1264
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00036248 | Washington |
Profile Details
| NPI number | 1013995976 |
|---|---|
| LBN Legal business name | Hendrie, Jennie G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2006 |
| Last updated | Nov 14th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013995976 | NPPES |
| Washington | Other | 8230062 | DSHS NUMBER |
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