Jonathon Charles Henry in Green Bay - Sports Medicine
Jonathon Charles Henry - NPI 1699744730
Jonathon Charles Henry is a Sports Medicine in Green Bay, Wisconsin. Jonathon Charles Henry practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jonathon Charles Henry is 1699744730. The last update date is 2022-03-23.
Jonathon Charles Henry's current location address is 164 N Broadway, Green Bay, Wisconsin. You can contact this provider via phone number 9206826376 and fax number 9206520115. The mailing address for Jonathon Charles Henry is 164 N Broadway, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathon Charles Henry |
|---|---|
| Address | 164 N Broadway, Green Bay, Wisconsin |
| Phone Number | 9206826376 |
| Fax Number | 9206520115 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699744730 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2022-03-23 |
Provider Mailing Address Detail
| Address | 164 N Broadway |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543032728 |
| Phone Number | 9206826376 |
| Fax Number | 9206520115 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 42957-020 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1699744730 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jonathon Charles Henry by the Centers for Medicare & Medicaid Services (CMS)?
The Jonathon Charles Henry has been assigned the NPI (National Provider Identifier) 1699744730. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Jonathon Charles Henry's facilities are geographically located?
The facilities of Jonathon Charles Henry are physically situated at the following location: 164 N Broadway, Green Bay, WI, 543032728.
What is Jonathon Charles Henry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jonathon Charles Henry is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Xx0005X.
When did the Jonathon Charles Henry receive its 1699744730?
The Jonathon Charles Henry was issued its 1699744730 on 2006-03-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jonathon Charles Henry last refreshed?
The information related to the Jonathon Charles Henry, including its address, specialty, and other relevant details, was last updated on 2022-03-23.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY