Henritze, Jill F

Henritze, Jill F is an individual health care provider with primary practice located at 811 State St , Bristol VA 24201-4143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Henritze, Jill F can be contacted via phone (276) 469-8899.

Contact Information

Primary practice address
811 State St Bristol VA 24201-4143
Phone: (276) 469-8899
Fax: (276) 469-8904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000001029 Tennessee

Profile Details

NPI number 1255376190
LBN Legal business name Henritze, Jill F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Mar 30th, 2023 - about 3 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 1255376190 NPPES
Virginia MEDICAID 1255376190
Virginia MEDICAID 3661425
Virginia Other PA0001029

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