Henry, Abby G

Henry, Abby G is an individual health care provider with primary practice located at 1440 W Walnut St #2, Jacksonville IL 62650-1143. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Henry, Abby G can be contacted via phone (217) 245-1455.

Contact Information

Primary practice address
1440 W Walnut St #2 Jacksonville IL 62650-1143
Phone: (217) 245-1455
Fax: (217) 243-6903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070013500 Illinois

Profile Details

NPI number 1043299803
LBN Legal business name Henry, Abby G
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 15th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043299803 NPPES
Illinois Other 0005415281 BCBS
Illinois Other 216653 BCBS
Illinois Other K51651 BCBS

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