Henriksen, John Eric
Henriksen, John Eric is an sole proprietor health care provider with primary practice located at 101 Hospital Drive , Magnolia AR 71753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henriksen, John Eric can be contacted via phone (870) 235-3000.Contact Information
Primary practice address
101 Hospital Drive
Magnolia AR 71753
Phone: (870) 235-3000
Fax: (870) 235-3557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E2924 | Arkansas |
Profile Details
| NPI number | 1083675284 |
|---|---|
| LBN Legal business name | Henriksen, John Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jan 18th, 2008 - about 17 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 | 1083675284 | NPPES |
| Arkansas | Other | E2924 | AR MEDICAL BOARD |
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