Henritze, John R.

Henritze, John R. is an individual health care provider with primary practice located at 340 Steeles Rd , Bristol TN 37620-9532. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Henritze, John R. can be contacted via phone (423) 282-9011.

Contact Information

Primary practice address
340 Steeles Rd Bristol TN 37620-9532
Phone: (423) 282-9011
Fax: (423) 282-0035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000001035 Tennessee

Profile Details

NPI number 1386609410
LBN Legal business name Henritze, John R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Aug 27th, 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 1386609410 NPPES
Tennessee Other PA0000001035 LICENSE
Tennessee MEDICAID 1386609410 LICENSE
Tennessee MEDICAID 1517352 LICENSE

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