Henry, David S

Henry, David S is an individual health care provider with primary practice located at 1444 Coffee Road , Modesto CA 95355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Henry, David S can be contacted via phone (209) 572-2229.

Contact Information

Primary practice address
1444 Coffee Road Modesto CA 95355
Phone: (209) 572-2229
Fax: (209) 571-3321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C395930 California

Profile Details

NPI number 1801838917
LBN Legal business name Henry, David S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1801838917 NPPES
California MEDICAID 00C395930

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