Henry, Eva L
Henry, Eva L is an individual health care provider with primary practice located at 10111 E 21St St N Ste 105 , Wichita KS 67206-3555. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Henry, Eva L can be contacted via phone (316) 260-5001.Contact Information
Primary practice address
10111 E 21St St N Ste 105
Wichita KS 67206-3555
Phone: (316) 260-5001
Fax: (316) 260-5424
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 0431204 | Kansas |
Profile Details
NPI number | 1801810312 |
---|---|
LBN Legal business name | Henry, Eva L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 27th, 2006 |
Last updated | Dec 19th, 2013 - about 12 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 | 1801810312 | NPPES |
Kansas | MEDICAID | 200337150A |
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