Mchenry, Jackie E.

Mchenry, Jackie E. is an individual health care provider with primary practice located at 140 Burke Calhoun City Rd , Calhoun City MS 38916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mchenry, Jackie E. can be contacted via phone (662) 628-6300.

Contact Information

Primary practice address
140 Burke Calhoun City Rd Calhoun City MS 38916
Phone: (662) 628-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 14485 Mississippi

Profile Details

NPI number 1649252057
LBN Legal business name Mchenry, Jackie E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2005
Last updated Jun 5th, 2018 - about 7 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 1649252057 NPPES
Other 080185585 RAILROAD MEDICARE
MEDICAID 00113820 RAILROAD MEDICARE

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