Hendry, John Easton

Hendry, John Easton is an sole proprietor health care provider with primary practice located at 5525 Dewey Dr Suite 104, Fair Oaks CA 95628-3129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Hendry, John Easton can be contacted via phone (916) 961-1373.

Contact Information

Primary practice address
5525 Dewey Dr Suite 104 Fair Oaks CA 95628-3129
Fax: (916) 961-1377
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G20774 California

Profile Details

NPI number 1558301010
LBN Legal business name Hendry, John Easton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Feb 2nd, 2009 - about 17 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 1558301010 NPPES
California MEDICAID 00G207740

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