Elder, Henry Irwin
Elder, Henry Irwin is an individual health care provider with primary practice located at 1255 Pearl St , Eugene OR 97401-3570. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Elder, Henry Irwin can be contacted via phone (541) 687-6983.Contact Information
Primary practice address
1255 Pearl St
Eugene OR 97401-3570
Phone: (541) 687-6983
Fax: (541) 684-7638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD 12543 | Oregon |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 12543 | Oregon |
Profile Details
| NPI number | 1356403455 |
|---|---|
| LBN Legal business name | Elder, Henry Irwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jun 23rd, 2016 - about 8 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 | 1356403455 | NPPES |
| Oregon | MEDICAID | 237750 |
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