Henry, Antonia Jocelyn

Henry, Antonia Jocelyn is an individual health care provider with primary practice located at 2093 Health Dr Sw Ste 302 , Wyoming MI 49519-9691. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Henry, Antonia Jocelyn can be contacted via phone (616) 252-5775.

Contact Information

Primary practice address
2093 Health Dr Sw Ste 302 Wyoming MI 49519-9691
Fax: (616) 252-5269
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 229207 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301501661 Michigan

Profile Details

NPI number 1063574101
LBN Legal business name Henry, Antonia Jocelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Feb 26th, 2024 - about 2 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 1063574101 NPPES
Michigan Other 4301501661 MEDICAL LICENSE

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