Mchenry, David Glen
Mchenry, David Glen is an sole proprietor health care provider with primary practice located at 309 Jackson St Ste 320 , Monroe LA 71201-7407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mchenry, David Glen can be contacted via phone (318) 966-8820.Contact Information
Primary practice address
309 Jackson St Ste 320
Monroe LA 71201-7407
Phone: (318) 966-8820
Fax: (318) 966-8827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 11473 | Mississippi |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 11473 | Mississippi |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 11473 | Louisiana |
Profile Details
| NPI number | 1053494831 |
|---|---|
| LBN Legal business name | Mchenry, David Glen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Dec 23rd, 2020 - about 6 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 | 1053494831 | NPPES |
| Mississippi | MEDICAID | 18132 |
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