Henderson, Joseph Bernard

Henderson, Joseph Bernard is an individual health care provider with primary practice located at 2041 Valleygate Dr , Fayetteville NC 28304-3745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Henderson, Joseph Bernard can be contacted via phone (910) 323-5203.

Contact Information

Primary practice address
2041 Valleygate Dr Fayetteville NC 28304-3745
Phone: (910) 323-5203
Fax: (910) 323-3650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2013-00623 North Carolina

Profile Details

NPI number 1790963759
LBN Legal business name Henderson, Joseph Bernard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2008
Last updated Aug 20th, 2013 - about 12 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 1790963759 NPPES
North Carolina Other 2013-00623 LICENSE #
North Carolina Other 17953 LICENSE #

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