Henry, Michael P
Henry, Michael P is an sole proprietor health care provider with primary practice located at 16533 N State Highway 5 Ste 201 , Sunrise Beach MO 65079-6769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henry, Michael P can be contacted via phone (573) 374-4600.Contact Information
Primary practice address
16533 N State Highway 5 Ste 201
Sunrise Beach MO 65079-6769
Phone: (573) 374-4600
Fax: (573) 374-4608
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 106206 | Missouri |
Profile Details
NPI number | 1629014766 |
---|---|
LBN Legal business name | Henry, Michael P |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 20th, 2006 |
Last updated | Mar 16th, 2014 - about 11 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 | 1629014766 | NPPES |
Missouri | MEDICAID | 247988462 | |
Missouri | Other | P01155055 |
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