Henner, Jessica L

Henner, Jessica L is an individual health care provider with primary practice located at 228 E Main St , East Islip NY 11730-2711. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is her primary health care specialty. Henner, Jessica L can be contacted via phone (631) 581-8600.

Contact Information

Primary practice address
228 E Main St East Islip NY 11730-2711
Phone: (631) 581-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 056072 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1699064683
LBN Legal business name Henner, Jessica L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2011
Last updated Oct 19th, 2015 - about 10 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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