Henry, Jack
Henry, Jack is an individual health care provider with primary practice located at 4004 82Nd St , Lubbock TX 79423-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Henry, Jack can be contacted via phone (806) 722-3100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | D1880 | Texas |
Profile Details
| NPI number | 1023080652 |
|---|---|
| LBN Legal business name | Henry, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Feb 28th, 2012 - about 12 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 | 1023080652 | NPPES |
| Texas | MEDICAID | 099944301 | |
| Texas | MEDICAID | 048641703 |
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