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
Phone: (318) 212-3830
Fax: (318) 212-3835
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043201312 | NPPES |
Louisiana | MEDICAID | 1096156 | |
Louisiana | MEDICAID | 106736503 |
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