Henderson, Brent

Henderson, Brent is an individual health care provider with primary practice located at 8801 S 101St East Ave , Tulsa OK 74133-5716. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Henderson, Brent can be contacted via phone (918) 294-4915.

Contact Information

Primary practice address
8801 S 101St East Ave Tulsa OK 74133-5716
Phone: (918) 294-4915
Fax: (918) 294-4947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 3954 Oklahoma
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 3954 Oklahoma

Profile Details

NPI number 1649217746
LBN Legal business name Henderson, Brent
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Apr 19th, 2021 - about 3 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 1649217746 NPPES
Oklahoma MEDICAID 200059770A
Oklahoma Other 900522349

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