Henricksen, Jacob

Henricksen, Jacob is an individual health care provider with primary practice located at 250 Crystal Grove Blvd , Lutz FL 33548-6460. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Henricksen, Jacob can be contacted via phone (813) 776-1480.

Contact Information

Primary practice address
250 Crystal Grove Blvd Lutz FL 33548-6460
Phone: (813) 776-1480
Fax: (813) 807-4774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH14963 Florida

Profile Details

NPI number 1194268771
LBN Legal business name Henricksen, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2016
Last updated Jan 7th, 2025 - about last year

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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