Henry, Richard Eugene

Henry, Richard Eugene is an individual health care provider with primary practice located at 800 Falls Ave Suite 2, Twin Falls ID 83301-3366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Henry, Richard Eugene can be contacted via phone (208) 734-6091.

Contact Information

Primary practice address
800 Falls Ave Suite 2 Twin Falls ID 83301-3366
Phone: (208) 734-6091
Fax: (208) 734-4654
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X M6017 Idaho
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 7241 Nevada

Profile Details

NPI number 1013904622
LBN Legal business name Henry, Richard Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Jan 20th, 2010 - about 14 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 1013904622 NPPES
Idaho MEDICAID 002736101
Idaho MEDICAID 002736100
Idaho MEDICAID 002736102

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