Henstorf, Jan Eric

Henstorf, Jan Eric is an sole proprietor health care provider with primary practice located at 38690 Stivers St , Fremont CA 94536-5279. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Henstorf, Jan Eric can be contacted via phone (510) 248-1040.

Contact Information

Primary practice address
38690 Stivers St Fremont CA 94536-5279
Phone: (510) 248-1040
Fax: (510) 797-7426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A448840 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X A448840 California

Profile Details

NPI number 1891781621
LBN Legal business name Henstorf, Jan Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Sep 24th, 2014 - about 12 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 1891781621 NPPES
California MEDICAID 00A448840

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