Mchenry, Michael Gerald
Mchenry, Michael Gerald is an individual health care provider with primary practice located at 3263 Eaton Road , Green Bay WI 54311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mchenry, Michael Gerald can be contacted via phone (920) 433-3456.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23152 | Wisconsin |
Profile Details
| NPI number | 1891779526 |
|---|---|
| LBN Legal business name | Mchenry, Michael Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | May 11th, 2011 - about 15 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 | 1891779526 | NPPES |
| Wisconsin | Other | 23152 | LICENSE |
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