Individual
JOHN HENTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2951 MAPLE AVENUE, ZANESVILLE, OH 43701-1406
(513) 672-3309
(513) 672-3323
Mailing address
945 BETHESDA DRIVE, 200B, ZANESVILLE, OH 43701-1406
(740) 455-4937
(740) 455-4931
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
145677
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.00029-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0690177
—
OH
01
—
430046110
RAILROAD MEDICARE
—
Enumeration date
12/14/2005
Last updated
06/04/2009
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