Henry, Lee Frederic
Henry, Lee Frederic is an individual health care provider with primary practice located at 404 Jefferson St , Pella IA 50219-1291. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Henry, Lee Frederic can be contacted via phone (641) 628-3150.Contact Information
Primary practice address
404 Jefferson St
Pella IA 50219-1291
Phone: (641) 628-3150
Fax: (641) 628-8901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 02476 | Iowa |
Profile Details
| NPI number | 1528036845 |
|---|---|
| LBN Legal business name | Henry, Lee Frederic |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2006 |
| Last updated | Oct 15th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528036845 | NPPES |
| Iowa | MEDICAID | 0321455 | |
| Iowa | Other | 300036501 |
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