Individual
JON R. HENWOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
705 BROOKSHIRE DR, STE 3, HERMITAGE, PA 16148-4513
(724) 981-7146
(724) 981-8940
Mailing address
P.O. BOX 807, SHARON, PA 16146
(724) 981-7146
(724) 981-8940
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS007593L
PA
2086S0129X
Vascular Surgery Physician
OS007953L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015953740005
—
PA
Enumeration date
06/30/2005
Last updated
09/11/2025
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