Henderson, Jordan Andrew

Henderson, Jordan Andrew is an individual health care provider with primary practice located at 8121 Rourk St , Myrtle Beach SC 29572. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Henderson, Jordan Andrew can be contacted via phone (843) 692-5000.

Contact Information

Primary practice address
8121 Rourk St Myrtle Beach SC 29572
Phone: (843) 692-5000
Fax: (843) 692-5010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5101019226 Michigan
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 39910 South Carolina

Profile Details

NPI number 1013200328
LBN Legal business name Henderson, Jordan Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2011
Last updated Jun 22nd, 2018 - about 8 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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