Henson, Keith Layne
Henson, Keith Layne is an sole proprietor health care provider with primary practice located at 8401 Market Street C/O Medical Staff Office, Boardman OH 44512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Henson, Keith Layne can be contacted via phone (330) 533-5699.Contact Information
Primary practice address
8401 Market Street C/O Medical Staff Office
Boardman OH 44512
Phone: (330) 533-5699
Fax: (330) 702-1144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34-00-3554 | Ohio |
Profile Details
| NPI number | 1023009412 |
|---|---|
| LBN Legal business name | Henson, Keith Layne |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Dec 6th, 2011 - 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 | 1023009412 | NPPES |
| Ohio | MEDICAID | 0585817 |
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