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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558315515 NPPES
California Other P00246545 GOOD SAMARITAN RAILROAD
California MEDICAID PA17812 GOOD SAMARITAN RAILROAD

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