Henderson, Charles Gerry

Henderson, Charles Gerry is an individual health care provider with primary practice located at 9300 Dewitt Loop, Attn: Urology Fort Belvoir Community Hospital, Fort Belvoir VA 22060. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Henderson, Charles Gerry can be contacted via phone (571) 231-2633.

Contact Information

Primary practice address
9300 Dewitt Loop, Attn: Urology Fort Belvoir Community Hospital Fort Belvoir VA 22060
Phone: (571) 231-2633
Fax: (571) 231-2611
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 18271 Alabama
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X G188367 California
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 18271 Alabama
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X ME131967 Florida

Profile Details

NPI number 1912067273
LBN Legal business name Henderson, Charles Gerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2006
Last updated May 6th, 2024 - about 6 months 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 1912067273 NPPES
Florida MEDICAID 021315000

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