Henderson, Deborah L.
Henderson, Deborah L. is an individual health care provider with primary practice located at 72780 Country Club Dr Bldg B 203, Rancho Mirage CA 92270-4126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Henderson, Deborah L. can be contacted via phone (760) 674-3847.Contact Information
Primary practice address
72780 Country Club Dr Bldg B 203
Rancho Mirage CA 92270-4126
Phone: (760) 674-3847
Fax: (760) 674-3845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA17812 | California |
Profile Details
| NPI number | 1558315515 |
|---|---|
| LBN Legal business name | Henderson, Deborah L. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Mar 1st, 2016 - about 8 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 | 1558315515 | NPPES |
| California | Other | P00246545 | GOOD SAMARITAN RAILROAD |
| California | MEDICAID | PA17812 | GOOD SAMARITAN RAILROAD |
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