Provider Demographics
NPI:1306158407
Name:JENKINS, HENRY NATHANIEL JR (DC)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:NATHANIEL
Last Name:JENKINS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:650 PENNSYLVANIA AVE SE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4318
Mailing Address - Country:US
Mailing Address - Phone:202-546-0981
Mailing Address - Fax:202-747-7716
Practice Address - Street 1:650 PENNSYLVANIA AVE SE
Practice Address - Street 2:SUITE 410
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4318
Practice Address - Country:US
Practice Address - Phone:202-546-0981
Practice Address - Fax:202-747-7716
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCCH030095111N00000X
VA0104556773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor