Henderson, Heidi

Henderson, Heidi is an individual health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0001. 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, Heidi can be contacted via phone (309) 672-5733.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636-0001
Fax:
Website:

Health care specialties

Profile Details

NPI number 1558485938
LBN Legal business name Henderson, Heidi
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
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 1558485938 NPPES
Illinois Other 7215059 BCBS PPO

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