Henley, Mark A.

Henley, Mark A. is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Henley, Mark A. can be contacted via phone (757) 668-7456.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Phone: (757) 668-7456
Fax: (757) 668-9255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101045119 Virginia
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101045119 Virginia

Profile Details

NPI number 1467406561
LBN Legal business name Henley, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Dec 9th, 2009 - about 17 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 1467406561 NPPES
Maryland MEDICAID 745611500
Maryland MEDICAID 006722610
Maryland MEDICAID 7905636

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