Provider Demographics
NPI:1407857956
Name:DOHN, HENRY HARRIS (MD)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:HARRIS
Last Name:DOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5190 BAYOU BLVD
Mailing Address - Street 2:BLDG 6
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2194
Mailing Address - Country:US
Mailing Address - Phone:850-476-0944
Mailing Address - Fax:850-476-2558
Practice Address - Street 1:5190 BAYOU BLVD
Practice Address - Street 2:BLDG 6
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2194
Practice Address - Country:US
Practice Address - Phone:850-476-0944
Practice Address - Fax:850-476-2558
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL83472084P0800X
FLME386992084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0403423-00Medicaid
FL17622Medicare ID - Type Unspecified