Henry, Jonathon Charles
Henry, Jonathon Charles is an individual health care provider with primary practice located at 1111 Bayshore Dr , Manitowoc WI 54220-5548. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Henry, Jonathon Charles can be contacted via phone (920) 682-6376.Contact Information
Primary practice address
1111 Bayshore Dr
Manitowoc WI 54220-5548
Phone: (920) 682-6376
Fax: (920) 652-0115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 42957-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 42957 | Wisconsin |
Profile Details
| NPI number | 1699744730 |
|---|---|
| LBN Legal business name | Henry, Jonathon Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Apr 9th, 2024 - about 5 months 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 | 1699744730 | NPPES |
| Wisconsin | MEDICAID | 1699744730 |
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