Henry, Douglas M.

Henry, Douglas M. is an individual health care provider with primary practice located at 2360 Mullan Rd Suite C, Missoula MT 59808-1811. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Henry, Douglas M. can be contacted via phone (406) 721-4436.

Contact Information

Primary practice address
2360 Mullan Rd Suite C Missoula MT 59808-1811
Phone: (406) 721-4436
Fax: (406) 721-6053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 272 Montana

Profile Details

NPI number 1275512071
LBN Legal business name Henry, Douglas M.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Nov 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275512071 NPPES
Montana MEDICAID 000082090

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