Jennings, Henry Alvin

Jennings, Henry Alvin is an individual health care provider with primary practice located at 10683 Magnolia Ave Suite A, Riverside CA 92505-1893. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Jennings, Henry Alvin can be contacted via phone (951) 352-2029.

Contact Information

Primary practice address
10683 Magnolia Ave Suite A Riverside CA 92505-1893
Phone: (951) 352-2029
Fax: (951) 352-2549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CPO-02544 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO-02544 California

Profile Details

NPI number 1225108475
LBN Legal business name Jennings, Henry Alvin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1225108475 NPPES
California MEDICAID GXC000030

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