Dr Henderson Judy Md Family Medicine Pllc

LBN: Dr Henderson Judy Md Family Medicine Pllc
Dr Henderson Judy Md Family Medicine Pllc is an health care organization with primary practice located at 24 N Saint Joseph Ave Suite C 2, Niles MI 49120-2263. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Dr Henderson Judy Md Family Medicine Pllc can be contacted via phone (269) 683-0330, or through Henderson, Judy D. via phone (269) 683-0330.

Contact Information

Primary practice address
24 N Saint Joseph Ave Suite C 2 Niles MI 49120-2263
Phone: (269) 683-0330
Fax: (269) 684-0400
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Judy D. Doctor of Medicine (MD)
Phone: (269) 683-0330

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301088108 Michigan

Profile Details

NPI number 1841737277
LBN Legal business name Dr Henderson Judy Md Family Medicine Pllc
DBA Doing business as
Authorized official Henderson, Judy D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2017
Last updated Jan 29th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841737277 NPPES
Michigan Other 1101111081 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 1700813227 BLUE CROSS BLUE SHIELD
Michigan Other 0111108 BLUE CROSS BLUE SHIELD

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