John Clark Henegan in Jackson - Student In An Organized Health Care Education/training Program
John Clark Henegan - NPI 1114188471
John Clark Henegan is a Student In An Organized Health Care Education/training Program in Jackson, Mississippi. John Clark Henegan practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for John Clark Henegan is 1114188471. The last update date is 2016-08-23.
John Clark Henegan's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845616 and fax number 6019845689. The mailing address for John Clark Henegan is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Clark Henegan |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019845616 |
| Fax Number | 6019845689 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114188471 |
|---|---|
| Provider Enumeration Date | 2008-06-19 |
| Last Updated Date | 2016-08-23 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019845616 |
| Fax Number | 6019845689 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
|
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2433543 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Clark Henegan by the Centers for Medicare & Medicaid Services (CMS)?
The John Clark Henegan has been assigned the NPI (National Provider Identifier) 1114188471. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of John Clark Henegan?
The John Clark Henegan is situated at 2500 N State St, in the city of Jackson, state of MS, with the zip code 392164500.
What is John Clark Henegan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Clark Henegan's specialized field of practice is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy code that categorizes this area of specialization is 390200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114188471 to John Clark Henegan?
The John Clark Henegan received its 1114188471 assignment from the Centers for Medicare & Medicaid Services on 2008-06-19.
As of what date were the John Clark Henegan's details last updated?
The information pertaining to the John Clark Henegan, including its address, specialty, and other details, was most recently updated on 2016-08-23.
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