Henderson, Carl Star
Henderson, Carl Star is an individual health care provider with primary practice located at 3 Riverside Cir , Roanoke VA 24016-4955. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Henderson, Carl Star can be contacted via phone (540) 224-5170.Contact Information
Primary practice address
3 Riverside Cir
Roanoke VA 24016-4955
Phone: (540) 224-5170
Fax: (540) 526-1099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2012-02134 | North Carolina |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 0102203865 | Virginia |
Profile Details
| NPI number | 1235372574 |
|---|---|
| LBN Legal business name | Henderson, Carl Star |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2009 |
| Last updated | Dec 10th, 2020 - about 5 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 | 1235372574 | NPPES |
| Virginia | Other | VVE107A | MEDICARE PTAN |
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