Henwood, Jon R.

Henwood, Jon R. is an individual health care provider with primary practice located at 705 Brookshire Dr Ste 3, Hermitage PA 16148-4513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Henwood, Jon R. can be contacted via phone (724) 981-7146.

Contact Information

Primary practice address
705 Brookshire Dr Ste 3 Hermitage PA 16148-4513
Fax: (724) 981-8940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS007593L Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X OS007953L Pennsylvania

Profile Details

NPI number 1255338786
LBN Legal business name Henwood, Jon R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jul 8th, 2007 - about 17 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 1255338786 NPPES
Pennsylvania MEDICAID 0015953740005

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