Henry, Jonathan

Henry, Jonathan is an sole proprietor health care provider with primary practice located at 4572 South Hagadorn 2A East, East Lansing MI 48823-5355. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Henry, Jonathan can be contacted via phone (517) 349-8388.

Contact Information

Primary practice address
4572 South Hagadorn 2A East East Lansing MI 48823-5355
Phone: (517) 349-8388
Fax: (517) 349-1560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301046084 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301046084 Michigan

Profile Details

NPI number 1164470068
LBN Legal business name Henry, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Nov 29th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164470068 NPPES
Michigan MEDICAID 101923850

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