Henry, Ethel M

Henry, Ethel M is an individual health care provider with primary practice located at 10692 Crestwood Dr Ste B , Manassas VA 20109-4410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Henry, Ethel M can be contacted via phone (703) 368-9131.

Contact Information

Primary practice address
10692 Crestwood Dr Ste B Manassas VA 20109-4410
Phone: (703) 368-9131
Fax: (703) 368-2038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110840684 Virginia

Profile Details

NPI number 1942454269
LBN Legal business name Henry, Ethel M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2008
Last updated Nov 13th, 2008 - about 17 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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