Henry, Gerard Dayle
Henry, Gerard Dayle is an individual health care provider with primary practice located at 2449 Hospital Dr Ste 280, Bossier City LA 71111-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Henry, Gerard Dayle can be contacted via phone (318) 212-7850.Contact Information
Primary practice address
2449 Hospital Dr Ste 280
Bossier City LA 71111-1900
Phone: (318) 212-7850
Fax: (318) 841-4008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 15041R | Louisiana |
Profile Details
| NPI number | 1508862905 |
|---|---|
| LBN Legal business name | Henry, Gerard Dayle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Mar 16th, 2017 - about 8 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 | 1508862905 | NPPES |
| Louisiana | Other | P00144298 | RAILROAD MEDICARE |
| Louisiana | MEDICAID | 1179876 | RAILROAD MEDICARE |
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