Henick, Kathryn Alyce
Henick, Kathryn Alyce is an individual health care provider with primary practice located at 2021 Santa Monica Blvd Suite 400E, Santa Monica CA 90404-2208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Henick, Kathryn Alyce can be contacted via phone (310) 453-5654.Contact Information
Primary practice address
2021 Santa Monica Blvd Suite 400E
Santa Monica CA 90404-2208
Phone: (310) 453-5654
Fax: (310) 453-6885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | G78994 | California |
Profile Details
| NPI number | 1912972779 |
|---|---|
| LBN Legal business name | Henick, Kathryn Alyce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912972779 | NPPES |
| California | Other | G78994 | CALIFORNIA LICENSE |
| California | MEDICAID | G789940 | CALIFORNIA LICENSE |
| California | MEDICAID | GR0085740 | CALIFORNIA LICENSE |
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