Henderson, Joseph Marvin
Henderson, Joseph Marvin is an individual health care provider with primary practice located at 1400 N Ritter Ave Ste 370, Indianapolis IN 46219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Henderson, Joseph Marvin can be contacted via phone (317) 355-1144.Contact Information
Primary practice address
1400 N Ritter Ave Ste 370
Indianapolis IN 46219
Phone: (317) 355-1144
Fax: (317) 355-1155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 01042307A | Indiana |
Profile Details
| NPI number | 1679540090 |
|---|---|
| LBN Legal business name | Henderson, Joseph Marvin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Nov 27th, 2023 - about last year |
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 | 1679540090 | NPPES |
| Indiana | Other | 000000793527 | ANTHEM |
| Indiana | Other | P01170017 | ANTHEM |
| Indiana | MEDICAID | 100474160A | ANTHEM |
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