Henderson, Ellena

Henderson, Ellena is an individual health care provider with primary practice located at 1325 Eastmoreland Ave Ste 245 , Memphis TN 38104-3591. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Henderson, Ellena can be contacted via phone (901) 516-9800.

Contact Information

Primary practice address
1325 Eastmoreland Ave Ste 245 Memphis TN 38104-3591
Phone: (901) 516-9800
Fax: (901) 516-9817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 39177 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39177 Tennessee

Profile Details

NPI number 1285689091
LBN Legal business name Henderson, Ellena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jan 10th, 2024 - about 11 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 1285689091 NPPES
Tennessee Other P00279007 RR MEDICARE
Tennessee Other 4097866 RR MEDICARE
Tennessee MEDICAID 3716661 RR MEDICARE

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