Henry, Gregory

Henry, Gregory is an individual health care provider with primary practice located at 2333 Biddle St , Wyandotte MI 48192-4668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Henry, Gregory can be contacted via phone (313) 284-9400.

Contact Information

Primary practice address
2333 Biddle St Wyandotte MI 48192-4668
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 034428 Michigan

Profile Details

NPI number 1578506408
LBN Legal business name Henry, Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 4th, 2008 - about 16 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 1578506408 NPPES
Michigan MEDICAID 104701247
Michigan MEDICAID 103438380
Michigan MEDICAID 103370112
Michigan MEDICAID 101436126
Michigan MEDICAID 102849748
Michigan Other GH034428

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