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:
Map and Directions
Authorized official contact:
Name: Henson, Rodney Douglas CPO 02313
Phone: (209) 944-9990

Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932195195 NPPES
California MEDICAID XC0023130

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