Henderson, Jason
Henderson, Jason is an sole proprietor health care provider with primary practice located at 1380 S Commercial St , Neenah WI 54956-4636. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Henderson, Jason can be contacted via phone (920) 725-5357.Contact Information
Primary practice address
1380 S Commercial St
Neenah WI 54956-4636
Phone: (920) 725-5357
Fax: (920) 969-9813
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5223-015 | Wisconsin |
Profile Details
| NPI number | 1871699900 |
|---|---|
| LBN Legal business name | Henderson, Jason |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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