Henson, Amy Denise
Henson, Amy Denise is an individual health care provider with primary practice located at 503 N Main St , London KY 40741-1217. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Henson, Amy Denise can be contacted via phone (606) 877-1877.Contact Information
Primary practice address
503 N Main St
London KY 40741-1217
Phone: (606) 877-1877
Fax: (606) 878-9543
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1574DT | Kentucky |
Profile Details
| NPI number | 1033106653 |
|---|---|
| LBN Legal business name | Henson, Amy Denise |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | May 25th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033106653 | NPPES |
| Kentucky | MEDICAID | 77902260 | |
| Kentucky | Other | 000000291821 | |
| Kentucky | MEDICAID | 77000800 |
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