Henry, Gerard Dayle

Henry, Gerard Dayle is an individual health care provider with primary practice located at 2449 Hospital Dr Ste 280, Bossier City LA 71111-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Henry, Gerard Dayle can be contacted via phone (318) 212-7850.

Contact Information

Primary practice address
2449 Hospital Dr Ste 280 Bossier City LA 71111-1900
Phone: (318) 212-7850
Fax: (318) 841-4008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 15041R Louisiana

Profile Details

NPI number 1508862905
LBN Legal business name Henry, Gerard Dayle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Mar 16th, 2017 - about 9 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 1508862905 NPPES
Louisiana Other P00144298 RAILROAD MEDICARE
Louisiana MEDICAID 1179876 RAILROAD MEDICARE

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