Henson Orthotic & Prosthetic Ent
LBN: Rodney D. Henson
Henson Orthotic & Prosthetic Ent is an health care organization with primary practice located at 2540 Pacific Ave Suite 2B, Stockton CA 95204-4400. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty.
Rodney D. Henson can be contacted via phone (209) 944-9990, or through Henson, Rodney Douglas via phone (209) 944-9990.
Contact Information
Primary practice address
2540 Pacific Ave Suite 2B
Stockton CA 95204-4400
Phone: (209) 944-9990
Fax: (209) 944-9992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1932195195 |
|---|---|
| LBN Legal business name | Rodney D. Henson |
| DBA Doing business as | Henson Orthotic & Prosthetic Ent |
| Authorized official | Henson, Rodney Douglas CPO 02313 |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Sep 8th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932195195 | NPPES |
| California | MEDICAID | XC0023130 |
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