Henderson, Anita Louise
Henderson, Anita Louise is an individual health care provider with primary practice located at 11089 Resort Rd Ste 206 , Ellicott City MD 21042-2073. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Henderson, Anita Louise can be contacted via phone (410) 696-3605.Contact Information
Primary practice address
11089 Resort Rd Ste 206
Ellicott City MD 21042-2073
Phone: (410) 696-3605
Fax: (410) 696-1387
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | D29175 | Maryland |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D29175 | Maryland |
Profile Details
| NPI number | 1699804542 |
|---|---|
| LBN Legal business name | Henderson, Anita Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Feb 15th, 2023 - about last year |
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 | 1699804542 | NPPES |
| Maryland | MEDICAID | 030771800 |
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