Henry, Debra L
Henry, Debra L is an individual health care provider with primary practice located at 800 Wheeling Ave , Glen Dale WV 26038-1660. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is her primary health care specialty. Henry, Debra L can be contacted via phone (304) 845-3211.Contact Information
Primary practice address
800 Wheeling Ave
Glen Dale WV 26038-1660
Phone: (304) 845-3211
Fax: (304) 843-3202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 15141 | West Virginia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 15141 | West Virginia |
Profile Details
| NPI number | 1053410936 |
|---|---|
| LBN Legal business name | Henry, Debra L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Aug 20th, 2009 - about 15 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 | 1053410936 | NPPES |
| West Virginia | MEDICAID | 0052585000 |
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