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Individual
DR. JASON D HENRY
Active
Individual
DR. JASON D HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
980
SD
111NS0005X
Sports Physician Chiropractor
980
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1594359
AMERICA'S PPO
SD
01
—
20632
SIOUX VALLEY HEALTH PLAN
SD
01
—
4994635
BLUE CROSS
SD
01
—
6437
AVERA HEALTH PLANS
SD
01
—
7594362
AETNA
SD
01
—
C980
DAKOTACARE
SD
Enumeration date
12/21/2005
Last updated
09/06/2012
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