Joe, Stanton Henry

Joe, Stanton Henry is an individual health care provider with primary practice located at 1809 Verdugo Blvd Suite 100, Glendale CA 91208-1402. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Joe, Stanton Henry can be contacted via phone (818) 242-1133.

Contact Information

Primary practice address
1809 Verdugo Blvd Suite 100 Glendale CA 91208-1402
Phone: (818) 242-1133
Fax: (818) 242-3658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G22870 California

Profile Details

NPI number 1255494159
LBN Legal business name Joe, Stanton Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Nov 8th, 2007 - about 18 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 1255494159 NPPES
California MEDICAID 00G228720
California MEDICAID 00G228721

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