Henderson, Margot D
Henderson, Margot D is an individual health care provider with primary practice located at 1755 Airway Ave , Kingman AZ 86409-3620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Henderson, Margot D can be contacted via phone (928) 681-1234.Contact Information
Primary practice address
1755 Airway Ave
Kingman AZ 86409-3620
Phone: (928) 681-1234
Fax: (928) 681-1811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2798 | Arizona |
Profile Details
| NPI number | 1023092822 |
|---|---|
| LBN Legal business name | Henderson, Margot D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jan 21st, 2016 - about 9 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 | 1023092822 | NPPES |
| Arizona | MEDICAID | 827149 | |
| Arizona | Other | P00256908 |
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