Henry, Jason

Henry, Jason is an sole proprietor health care provider with primary practice located at 164 Lake Apollo Dr , Hannibal MO 63401-2308. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as his primary health care specialty. Henry, Jason can be contacted via phone (858) 200-5690.

Contact Information

Primary practice address
164 Lake Apollo Dr Hannibal MO 63401-2308
Phone: (858) 200-5690
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X PT60201832 Washington

Profile Details

NPI number 1891088209
LBN Legal business name Henry, Jason
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2011
Last updated May 17th, 2011 - about 13 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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