Henson, Nicholas Levi

Henson, Nicholas Levi is an individual health care provider with primary practice located at 2122 Manchester Expy , Columbus GA 31904-6878. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Henson, Nicholas Levi can be contacted via phone (706) 320-2773.

Contact Information

Primary practice address
2122 Manchester Expy Columbus GA 31904-6878
Phone: (706) 320-2773
Fax: (706) 596-4226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 069517 Georgia

Profile Details

NPI number 1255599825
LBN Legal business name Henson, Nicholas Levi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Aug 3rd, 2015 - about 10 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 1255599825 NPPES
Alabama MEDICAID 159392
Alabama MEDICAID 003145933A

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