Igdal, Henry

Igdal, Henry is an sole proprietor health care provider with primary practice located at 1850 Crestview Rd , Easley SC 29642. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Igdal, Henry can be contacted via phone (828) 277-4810.

Contact Information

Primary practice address
1850 Crestview Rd Easley SC 29642
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38948 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35141 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 38948 South Carolina

Profile Details

NPI number 1346259280
LBN Legal business name Igdal, Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated May 14th, 2018 - about 6 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 1346259280 NPPES
South Carolina MEDICAID NC2564

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