Henderson, Craig
Henderson, Craig is an individual health care provider with primary practice located at 804 W Park Ave , Ocean NJ 07712-7272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Henderson, Craig can be contacted via phone (732) 695-2040.Contact Information
Primary practice address
804 W Park Ave
Ocean NJ 07712-7272
Phone: (732) 695-2040
Fax: (732) 493-1640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MB61055 | New Jersey |
Profile Details
| NPI number | 1902870967 |
|---|---|
| LBN Legal business name | Henderson, Craig |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902870967 | NPPES |
| New Jersey | MEDICAID | 6935605 |
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