Henderson, Jenifer Lee

Henderson, Jenifer Lee is an individual health care provider with primary practice located at 2011 Nw Myhre Pl , Silverdale WA 98383-8561. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck, which is considered as her primary health care specialty. Henderson, Jenifer Lee can be contacted via phone (360) 830-1755.

Contact Information

Primary practice address
2011 Nw Myhre Pl Silverdale WA 98383-8561
Phone: (360) 830-1755
Fax: (360) 830-1782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X MD00037936 Washington

Profile Details

NPI number 1366574501
LBN Legal business name Henderson, Jenifer Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Mar 7th, 2023 - about 3 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 1366574501 NPPES
Washington MEDICAID 8252181
Washington Other 8918HE
Washington Other 242391

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