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
Fax: (316) 260-5424
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801810312 NPPES
Kansas MEDICAID 200337150A

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