Henriques, Jan H

Henriques, Jan H is an sole proprietor health care provider with primary practice located at 203 Woodpark Place Suite B-100, Woodstock GA 30188. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is her primary health care specialty. Henriques, Jan H can be contacted via phone (770) 560-4775.

Contact Information

Primary practice address
203 Woodpark Place Suite B-100 Woodstock GA 30188
Phone: (770) 560-4775
Fax: (770) 234-6977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1690 Georgia
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 001690 Georgia

Profile Details

NPI number 1730230996
LBN Legal business name Henriques, Jan H
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2007
Last updated Apr 30th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730230996 NPPES
Georgia MEDICAID 000876752A
Georgia MEDICAID 000784506A

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