David, Henry
David, Henry is an sole proprietor health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. David, Henry can be contacted via phone (773) 702-1000.Contact Information
Primary practice address
5841 S Maryland Ave
Chicago IL 60637-1443
Phone: (773) 702-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 036149685 | Illinois |
Profile Details
NPI number | 1851785547 |
---|---|
LBN Legal business name | David, Henry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 20th, 2015 |
Last updated | Sep 19th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851785547 | NPPES |
Other | 135061 | CALIFORNIA MEDICAL LICENSE NUMBER |
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