Henderson, Anita

Henderson, Anita is an individual health care provider with primary practice located at 7061 Grand Montecito Pkwy , Las Vegas NV 89149-0287. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Henderson, Anita can be contacted via phone (702) 750-3900.

Contact Information

Primary practice address
7061 Grand Montecito Pkwy Las Vegas NV 89149-0287
Phone: (702) 750-3900
Fax: (702) 750-3916
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10115 Nevada

Profile Details

NPI number 1144292129
LBN Legal business name Henderson, Anita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Feb 20th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144292129 NPPES
Nevada MEDICAID 3102646
Nevada Other P00054853
Nevada MEDICAID 2018546

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