Jason D Henry in Sioux Falls - Sports Physician

Jason D Henry - NPI 1376529388

Jason D Henry is a Sports Physician in Sioux Falls, South Dakota. Jason D Henry practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jason D Henry is 1376529388. The last update date is 2012-09-06.

Jason D Henry's current location address is 1727 S Cleveland Ave, Sioux Falls, South Dakota. You can contact this provider via phone number 6053346656 and fax number 6053334875. The mailing address for Jason D Henry is 1727 S Cleveland Ave, Sioux Falls, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jason D Henry
Address 1727 S Cleveland Ave, Sioux Falls, South Dakota
Phone Number 6053346656
Fax Number 6053334875
Sole Proprietor N
Credentials DC, CCSP

NPI Number Detail

NPI Number 1376529388
Provider Enumeration Date 2005-12-21
Last Updated Date 2012-09-06

Provider Mailing Address Detail

Address 1727 S Cleveland Ave
City Sioux Falls
State South Dakota (SD)
Post Code 571033245
Phone Number 6053346656
Fax Number 6053334875

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 980
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20632 SD SIOUX VALLEY HEALTH PLAN
C980 SD DAKOTACARE
7594362 SD AETNA
6437 SD AVERA HEALTH PLANS
1594359 SD AMERICA'S PPO
4994635 SD BLUE CROSS

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FAQs about Jason D Henry

What is the unique provider identifier assigned to Jason D Henry?

The Jason D Henry has been issued the NPI (National Provider Identifier) 1376529388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Jason D Henry is physically located?

The Jason D Henry is situated at the following address: 1727 S Cleveland Ave, Sioux Falls, SD 571033245.

What is Jason D Henry's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jason D Henry's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.

On what date did the Jason D Henry receive its 1376529388 assignment from the Centers for Medicare & Medicaid Services?

The Jason D Henry was assigned its 1376529388 by the Centers for Medicare & Medicaid Services on 2005-12-21.

When was the information pertaining to Jason D Henry most recently updated or revised?

The details related to Jason D Henry, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-06.

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