Henderson, David Anthony

Henderson, David Anthony is an individual health care provider with primary practice located at 200 Hawthorne Ln , Charlotte NC 28204-2515. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Henderson, David Anthony can be contacted via phone (704) 384-5416.

Contact Information

Primary practice address
200 Hawthorne Ln Charlotte NC 28204-2515
Fax: (704) 384-5992
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9700983 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 9700983 North Carolina

Profile Details

NPI number 1821065095
LBN Legal business name Henderson, David Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jun 14th, 2023 - about last year

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 1821065095 NPPES
South Carolina MEDICAID N00983
South Carolina MEDICAID 891057G

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