Henry, Drisana
Henry, Drisana is an sole proprietor health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Henry, Drisana can be contacted via phone (215) 590-3537.Contact Information
Primary practice address
3401 Civic Center Blvd
Philadelphia PA 19104-4319
Phone: (215) 590-3537
Fax: (215) 590-3537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MT212704 | Pennsylvania |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD460390 | Pennsylvania |
Profile Details
| NPI number | 1447677992 |
|---|---|
| LBN Legal business name | Henry, Drisana |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2014 |
| Last updated | Oct 15th, 2018 - about 7 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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