Henson, Paul C

Henson, Paul C is an sole proprietor health care provider with primary practice located at 998 S Highway 25 W Suite 1, Williamsburg KY 40769-1692. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Henson, Paul C can be contacted via phone (606) 549-1183.

Contact Information

Primary practice address
998 S Highway 25 W Suite 1 Williamsburg KY 40769-1692
Phone: (606) 549-1183
Fax: (606) 549-4900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA071 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000000153 Tennessee

Profile Details

NPI number 1134200223
LBN Legal business name Henson, Paul C
Credentials P.A.C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated May 25th, 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 1134200223 NPPES
Tennessee MEDICAID 3677814
Tennessee MEDICAID 9500025300

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