Henson, Macy L

Henson, Macy L is an individual health care provider with primary practice located at 305 W Jackson St Ste 200 , Carbondale IL 62901-1474. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Henson, Macy L can be contacted via phone (618) 536-6621.

Contact Information

Primary practice address
305 W Jackson St Ste 200 Carbondale IL 62901-1474
Phone: (618) 536-6621
Fax: (618) 453-1102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006790 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085-006790 Illinois

Profile Details

NPI number 1336605237
LBN Legal business name Henson, Macy L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2019
Last updated Dec 28th, 2020 - about 6 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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