Henderson, James Martin

Henderson, James Martin is an individual health care provider with primary practice located at 415 Morris St Suite 309, Charleston WV 25301-1842. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Henderson, James Martin can be contacted via phone (304) 388-3290.

Contact Information

Primary practice address
415 Morris St Suite 309 Charleston WV 25301-1842
Phone: (304) 388-3290
Fax: (304) 388-3186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 20470 West Virginia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 20470 West Virginia

Profile Details

NPI number 1295799963
LBN Legal business name Henderson, James Martin
Credentials M.D./DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jun 9th, 2011 - about 13 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 1295799963 NPPES
West Virginia MEDICAID 4002055001
West Virginia Other 850000287
West Virginia MEDICAID 4002055-000

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