Henderson, John C
Henderson, John C is an individual health care provider with primary practice located at 2900 Hawkins Dr , Searcy AR 72143-4802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Henderson, John C can be contacted via phone (501) 278-2808.Contact Information
Primary practice address
2900 Hawkins Dr
Searcy AR 72143-4802
Phone: (501) 278-2808
Fax: (501) 278-3001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | R2279 | Arkansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R-2279 | Arkansas |
Profile Details
| NPI number | 1134184633 |
|---|---|
| LBN Legal business name | Henderson, John C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jan 14th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134184633 | NPPES |
| Arkansas | MEDICAID | 106513001 |
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