Henry, Russell Patrick
Henry, Russell Patrick is an individual health care provider with primary practice located at 911 Verret St , Houma LA 70360-4637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Henry, Russell Patrick can be contacted via phone (985) 876-7388.Contact Information
Primary practice address
911 Verret St
Houma LA 70360-4637
Phone: (985) 876-7388
Fax: (985) 876-3378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 012720 | Louisiana |
Profile Details
| NPI number | 1780689893 |
|---|---|
| LBN Legal business name | Henry, Russell Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | May 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780689893 | NPPES |
| Louisiana | MEDICAID | 1176885 |
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