Henline, Donald William

Henline, Donald William is an individual health care provider with primary practice located at 3726 Broadway Ste 201 , Everett WA 98201-3788. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Henline, Donald William can be contacted via phone (425) 317-9119.

Contact Information

Primary practice address
3726 Broadway Ste 201 Everett WA 98201-3788
Phone: (425) 317-9119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 204678 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD60464124 Washington

Profile Details

NPI number 1356326870
LBN Legal business name Henline, Donald William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated May 3rd, 2018 - about 7 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 1356326870 NPPES
New York MEDICAID 01789353

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