Henry, Dwain J
Henry, Dwain J is an sole proprietor health care provider with primary practice located at 1248 Edgewood Ave W # 1 , Jacksonville FL 32208-2768. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Henry, Dwain J can be contacted via phone (904) 755-5209.Contact Information
Primary practice address
1248 Edgewood Ave W # 1
Jacksonville FL 32208-2768
Phone: (904) 755-5209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Phlebotomy | 246RP1900X | 31810062 | Florida |
Profile Details
| NPI number | 1528788932 |
|---|---|
| LBN Legal business name | Henry, Dwain J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2022 |
| Last updated | Aug 29th, 2022 - about 3 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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