Henry, Derrick Alan
Henry, Derrick Alan is an sole proprietor health care provider with primary practice located at 800 Fair Park Blvd , Little Rock AR 72204-1720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Henry, Derrick Alan can be contacted via phone (501) 404-8007.Contact Information
Primary practice address
800 Fair Park Blvd
Little Rock AR 72204-1720
Phone: (501) 404-8007
Fax: (501) 904-3620
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | E-16463 | Arkansas |
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 31406 | Mississippi |
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 67994 | Tennessee |
Profile Details
NPI number | 1417453234 |
---|---|
LBN Legal business name | Henry, Derrick Alan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 2nd, 2018 |
Last updated | Jul 2nd, 2024 - about 2 months 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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