Hendricks, Joan R

Hendricks, Joan R is an sole proprietor health care provider with primary practice located at 908 Jefferson St , Seattle WA 98104-2433. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Hendricks, Joan R can be contacted via phone (206) 744-4830.

Contact Information

Primary practice address
908 Jefferson St Seattle WA 98104-2433
Phone: (206) 744-4830
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X MD60327051 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A130696 California

Profile Details

NPI number 1083870075
LBN Legal business name Hendricks, Joan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2008
Last updated Nov 2nd, 2021 - about 5 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 1083870075 NPPES
Washington MEDICAID 1083870075

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