Degive, Henry L

Degive, Henry L is an individual health care provider with primary practice located at 3516 12Th Ave Ne , Olympia WA 98506-5218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Degive, Henry L can be contacted via phone (360) 918-0604.

Contact Information

Primary practice address
3516 12Th Ave Ne Olympia WA 98506-5218
Fax: (360) 456-6504
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00017990 Washington

Profile Details

NPI number 1114012036
LBN Legal business name Degive, Henry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 21st, 2016 - about 10 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 1114012036 NPPES
Washington MEDICAID 1002662

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