Henrickson, Ronald J

Henrickson, Ronald J is an individual health care provider with primary practice located at 751 S Bascom Ave Aneshesiology Department, San Jose CA 95128-2604. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Henrickson, Ronald J can be contacted via phone (408) 885-5745.

Contact Information

Primary practice address
751 S Bascom Ave Aneshesiology Department San Jose CA 95128-2604
Phone: (408) 885-5745
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 286590 California

Profile Details

NPI number 1609830991
LBN Legal business name Henrickson, Ronald J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Sep 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609830991 NPPES
California MEDICAID RN286590

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