Henry, Michael Evan

Henry, Michael Evan is an individual health care provider with primary practice located at 1010 North Bancroft Parkway Suite 12, Wilmington DE 19805-2668. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Henry, Michael Evan can be contacted via phone (302) 658-1129.

Contact Information

Primary practice address
1010 North Bancroft Parkway Suite 12 Wilmington DE 19805-2668
Phone: (302) 658-1129
Fax: (302) 658-7646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E1000170 Delaware

Profile Details

NPI number 1720173057
LBN Legal business name Henry, Michael Evan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 8th, 2015 - about 10 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 1720173057 NPPES
Delaware MEDICAID 1000036543

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