Henshaw, William C
Henshaw, William C is an sole proprietor health care provider with primary practice located at 801 S Fairmont Ave Ste 5 , Lodi CA 95240-5106. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Henshaw, William C can be contacted via phone (209) 334-2020.Contact Information
Primary practice address
801 S Fairmont Ave Ste 5
Lodi CA 95240-5106
Phone: (209) 334-2020
Fax: (209) 333-2015
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 5036 TPA | California |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 5036 TPA | California |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 50360 TPA | California |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 5036 TPA | California |
Profile Details
NPI number | 1205940889 |
---|---|
LBN Legal business name | Henshaw, William C |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 19th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1205940889 | NPPES |
California | MEDICAID | SD0050360 | |
California | Other | 5036 TPA |
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