Henderson, Gregory S

Henderson, Gregory S is an individual health care provider with primary practice located at 2520 Cherry Ave Pathology Department, Bremerton WA 98310-4229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Henderson, Gregory S can be contacted via phone (360) 792-6731.

Contact Information

Primary practice address
2520 Cherry Ave Pathology Department Bremerton WA 98310-4229
Phone: (360) 792-6731
Fax: (360) 792-6561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD00048144 Washington

Profile Details

NPI number 1407804859
LBN Legal business name Henderson, Gregory S
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1407804859 NPPES
Louisiana MEDICAID 1722111

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