Henry, David

Henry, David is an individual health care provider with primary practice located at 7813 Youree Dr , Shreveport LA 71105-5505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Henry, David can be contacted via phone (318) 212-3830.

Contact Information

Primary practice address
7813 Youree Dr Shreveport LA 71105-5505
Fax: (318) 212-3835
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 010682 Louisiana

Profile Details

NPI number 1043201312
LBN Legal business name Henry, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Dec 20th, 2007 - about 18 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 1043201312 NPPES
Louisiana MEDICAID 1096156
Louisiana MEDICAID 106736503

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