Henderson, Anne
Henderson, Anne is an individual health care provider with primary practice located at 2525 E Roosevelt St , Phoenix AZ 85008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Henderson, Anne can be contacted via phone (602) 344-1015.Contact Information
Primary practice address
2525 E Roosevelt St
Phoenix AZ 85008
Phone: (602) 344-1015
Fax: (602) 344-5149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 50759 | Arizona |
Profile Details
| NPI number | 1972767580 |
|---|---|
| LBN Legal business name | Henderson, Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2008 |
| Last updated | Jul 9th, 2018 - about 7 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 | 1972767580 | NPPES |
| Arizona | MEDICAID | 050925 |
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