Individual
DR. JED WILLIAM HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050
(740) 393-9000
(740) 392-0167
Mailing address
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050
(740) 393-9000
(740) 392-0167
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35091887
OH
208800000X
Urology Physician
Primary
57.008944
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2932036
—
OH
01
—
P007564258
RAILROAD MCR
OH
Enumeration date
05/14/2007
Last updated
03/17/2021
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