Henry, Melvin L

Henry, Melvin L is an individual health care provider with primary practice located at 1901 S Cedar St Suite 301 Cardiac Study Center, Inc. P.S., Tacoma WA 98405-2308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Henry, Melvin L can be contacted via phone (253) 572-7320.

Contact Information

Primary practice address
1901 S Cedar St Suite 301 Cardiac Study Center, Inc. P.S. Tacoma WA 98405-2308
Phone: (253) 572-7320
Fax: (253) 627-3191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD00010897 Washington

Profile Details

NPI number 1851376099
LBN Legal business name Henry, Melvin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 21st, 2012 - about 13 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 1851376099 NPPES
Washington MEDICAID 1364207

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