Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | D51674 | MD |
Y | 2086S0127X | Trauma Surgeon | D51674 | MD |
NPI | 1346207297 |
---|---|
Provider Name | Dr. Sharon Henry |
First Address | Baltimore, MD 21264-4793 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 14/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020035107 | RR MC (01) | MD |
050T | MC PIN (01) | MD |
F20925 | (02) | MD |