Henke, Jonathan P

Henke, Jonathan P is an individual health care provider with primary practice located at 402 Karl Rd Ne , Moses Lake WA 98837-9458. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Henke, Jonathan P can be contacted via phone (509) 707-3317.

Contact Information

Primary practice address
402 Karl Rd Ne Moses Lake WA 98837-9458
Phone: (509) 707-3317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10005308 Washington

Profile Details

NPI number 1326005646
LBN Legal business name Henke, Jonathan P
Credentials PAC, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Nov 27th, 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 1326005646 NPPES
Washington Other 0226041 L&I
Washington MEDICAID 849537 L&I

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