Irvine, Henry Andrew

Irvine, Henry Andrew is an individual health care provider with primary practice located at 63245 Silvis Rd , Bend OR 97701-9743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Irvine, Henry Andrew can be contacted via phone (458) 206-0145.

Contact Information

Primary practice address
63245 Silvis Rd Bend OR 97701-9743
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 0101235094 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101235094 Virginia

Profile Details

NPI number 1780663609
LBN Legal business name Irvine, Henry Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Dec 20th, 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 1780663609 NPPES
Florida Other 127605 LICENSE

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