Henry, Reginald B

Henry, Reginald B is an individual health care provider with primary practice located at 850 Kempsville Rd Ste 100D, Norfolk VA 23502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Henry, Reginald B can be contacted via phone (757) 261-5944.

Contact Information

Primary practice address
850 Kempsville Rd Ste 100D Norfolk VA 23502
Fax: (757) 261-0026
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101036226 Virginia

Profile Details

NPI number 1225003361
LBN Legal business name Henry, Reginald B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Nov 17th, 2021 - about 3 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 1225003361 NPPES
Virginia MEDICAID 005900212

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