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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144292129 | NPPES |
| Nevada | MEDICAID | 3102646 | |
| Nevada | Other | P00054853 | |
| Nevada | MEDICAID | 2018546 |
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