Henry, Jeffrey D
Henry, Jeffrey D is an individual health care provider with primary practice located at 2509 Canterbury Dr , Hays KS 67601-2233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henry, Jeffrey D can be contacted via phone (785) 623-5095.Contact Information
Primary practice address
2509 Canterbury Dr
Hays KS 67601-2233
Phone: (785) 623-5095
Fax: (785) 623-5080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 04-24142 | Kansas |
Profile Details
| NPI number | 1154397743 |
|---|---|
| LBN Legal business name | Henry, Jeffrey D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Dec 16th, 2009 - about 15 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 | 1154397743 | NPPES |
| Kansas | MEDICAID | 100153480B |
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