Joe, Stanton Henry
Joe, Stanton Henry is an individual health care provider with primary practice located at 1809 Verdugo Blvd Suite 100, Glendale CA 91208-1402. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Joe, Stanton Henry can be contacted via phone (818) 242-1133.Contact Information
Primary practice address
1809 Verdugo Blvd Suite 100
Glendale CA 91208-1402
Phone: (818) 242-1133
Fax: (818) 242-3658
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G22870 | California |
Profile Details
| NPI number | 1255494159 |
|---|---|
| LBN Legal business name | Joe, Stanton Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Nov 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255494159 | NPPES |
| California | MEDICAID | 00G228720 | |
| California | MEDICAID | 00G228721 |
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