Henry, John S
Henry, John S is an individual health care provider with primary practice located at 1120 N 103Rd Plz Suite 100, Omaha NE 68114-1114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Henry, John S can be contacted via phone (402) 391-5055.Contact Information
Primary practice address
1120 N 103Rd Plz Suite 100
Omaha NE 68114-1114
Phone: (402) 391-5055
Fax: (402) 391-5053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 22904 | Nebraska |
Profile Details
| NPI number | 1831157213 |
|---|---|
| LBN Legal business name | Henry, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jun 12th, 2015 - about 10 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 | 1831157213 | NPPES |
| Iowa | MEDICAID | 1831157213 | |
| Iowa | MEDICAID | 100264481-00 |
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