Purcell, Henry
Purcell, Henry is an individual health care provider with primary practice located at 6812 State Route 162 Ste 121 , Maryville IL 62062-8586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Purcell, Henry can be contacted via phone (618) 391-6910.Contact Information
Primary practice address
6812 State Route 162 Ste 121
Maryville IL 62062-8586
Phone: (618) 391-6910
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | R9H62 | Missouri |
Profile Details
| NPI number | 1467530410 |
|---|---|
| LBN Legal business name | Purcell, Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Sep 10th, 2024 - about 2 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 | 1467530410 | NPPES |
| Missouri | Other | 110165961 | RAILROAD MEDICARE |
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