Henry, William O
Henry, William O is an individual health care provider with primary practice located at 14245 Dedeaux Rd , Gulfport MS 39503-3369. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Henry, William O can be contacted via phone (228) 314-7226.Contact Information
Primary practice address
14245 Dedeaux Rd
Gulfport MS 39503-3369
Phone: (228) 314-7226
Fax: (228) 314-7227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 08744 | Mississippi |
| Other Service Providers / Specialist | 174400000X | F7484 | Texas |
Profile Details
| NPI number | 1144363771 |
|---|---|
| LBN Legal business name | Henry, William O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1144363771 | NPPES |
| Louisiana | MEDICAID | 1906808 | |
| Louisiana | MEDICAID | 3504397 | |
| Louisiana | MEDICAID | 10410 | |
| Louisiana | MEDICAID | 1995131 | |
| Louisiana | MEDICAID | X9X008188 |
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