Henson, Jeremy Lee

Henson, Jeremy Lee is an individual health care provider with primary practice located at 19251 Mack Ave Ste 333, Grosse Pointe Woods MI 48236-2893. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Henson, Jeremy Lee can be contacted via phone (313) 343-7280.

Contact Information

Primary practice address
19251 Mack Ave Ste 333 Grosse Pointe Woods MI 48236-2893
Phone: (313) 343-7280
Fax: (313) 433-7921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301086712 Michigan

Profile Details

NPI number 1144492281
LBN Legal business name Henson, Jeremy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2008
Last updated Sep 24th, 2008 - about 16 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 1144492281 NPPES
Michigan Other 0Q262160 BLUE CROSS GROUP

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