Henry, Charles Alfred
Henry, Charles Alfred is an sole proprietor health care provider with primary practice located at 1 Brookline Place Suite 502, Brookline MA 02445. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Henry, Charles Alfred can be contacted via phone (617) 278-0272.Contact Information
Primary practice address
1 Brookline Place Suite 502
Brookline MA 02445
Phone: (617) 278-0272
Fax: (617) 278-2120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 154458 | Massachusetts |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 154458 | Massachusetts |
Profile Details
| NPI number | 1770684458 |
|---|---|
| LBN Legal business name | Henry, Charles Alfred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | May 8th, 2020 - about 6 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 | 1770684458 | NPPES |
| Massachusetts | MEDICAID | 3191176 | |
| Massachusetts | MEDICAID | 110060905 |
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