Hendrickson, Jon R
Hendrickson, Jon R is an individual health care provider with primary practice located at 7303 Rogers Ave , Fort Smith AR 72903-4112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hendrickson, Jon R can be contacted via phone (479) 478-7200.Contact Information
Primary practice address
7303 Rogers Ave
Fort Smith AR 72903-4112
Phone: (479) 478-7200
Fax: (479) 478-7225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N7630 | Arkansas |
Profile Details
| NPI number | 1447210448 |
|---|---|
| LBN Legal business name | Hendrickson, Jon R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447210448 | NPPES |
| Arkansas | Other | 52930 | BLUE CROSS & BLUE SHIELD |
| Arkansas | Other | 17653000000 | BLUE CROSS & BLUE SHIELD |
| Arkansas | Other | 9718882 | BLUE CROSS & BLUE SHIELD |
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