Mchenry, David Glen

Mchenry, David Glen is an sole proprietor health care provider with primary practice located at 309 Jackson St Ste 320 , Monroe LA 71201-7407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mchenry, David Glen can be contacted via phone (318) 966-8820.

Contact Information

Primary practice address
309 Jackson St Ste 320 Monroe LA 71201-7407
Phone: (318) 966-8820
Fax: (318) 966-8827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 11473 Mississippi
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 11473 Mississippi
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 11473 Louisiana

Profile Details

NPI number 1053494831
LBN Legal business name Mchenry, David Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Dec 23rd, 2020 - about 5 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 1053494831 NPPES
Mississippi MEDICAID 18132

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