Henley, Eric

Henley, Eric is an individual health care provider with primary practice located at 2920 N 4Th St , Flagstaff AZ 86004-1816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henley, Eric can be contacted via phone (928) 213-6100.

Contact Information

Primary practice address
2920 N 4Th St Flagstaff AZ 86004-1816
Phone: (928) 213-6100
Fax: (928) 774-4808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41576 Arizona

Profile Details

NPI number 1134119258
LBN Legal business name Henley, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated May 18th, 2010 - about 16 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 1134119258 NPPES
Arizona MEDICAID 415734

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