Henry, Michael P

Henry, Michael P is an sole proprietor health care provider with primary practice located at 16533 N State Highway 5 Ste 201 , Sunrise Beach MO 65079-6769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Henry, Michael P can be contacted via phone (573) 374-4600.

Contact Information

Primary practice address
16533 N State Highway 5 Ste 201 Sunrise Beach MO 65079-6769
Phone: (573) 374-4600
Fax: (573) 374-4608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 106206 Missouri

Profile Details

NPI number 1629014766
LBN Legal business name Henry, Michael P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Mar 16th, 2014 - about 12 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 1629014766 NPPES
Missouri MEDICAID 247988462
Missouri Other P01155055

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