Henar, Ingrid Y

Henar, Ingrid Y is an individual health care provider with primary practice located at South Cove Community Center 277 Commercial Street, Malden MA 02148. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Henar, Ingrid Y can be contacted via phone (617) 253-1505.

Contact Information

Primary practice address
South Cove Community Center 277 Commercial Street Malden MA 02148
Phone: (617) 253-1505
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 51855 Massachusetts
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 51855 Massachusetts

Profile Details

NPI number 1407820046
LBN Legal business name Henar, Ingrid Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Dec 4th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407820046 NPPES
Massachusetts Other J08794 BLUE CROSS
Massachusetts MEDICAID 110060594A BLUE CROSS

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