Individual
JOHN S HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 SECOND ST, MARIETTA, OH 45750
(740) 373-8756
(740) 373-0091
Mailing address
611 SECOND ST, MARIETTA, OH 45750
(740) 373-8756
(740) 373-0091
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20112
WV
207X00000X
Orthopaedic Surgery Physician
Primary
35077820
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000117045
ANTHEM
—
01
—
000646012
BCBS
—
01
—
200039196
RR MEDICARE
—
05
—
2179753
—
OH
01
—
232117571008
MEDICAL MUTUAL BELPRE
—
05
—
640016300
—
WV
01
—
W77820
HEALTH PLAN MARIETTA
—
01
—
W77820A
HLTH PLAN NEWMARTINSVILLE
—
01
—
WV20112B
HEALTH PLAN BELPRE
—
Enumeration date
05/02/2006
Last updated
02/13/2023
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