Henderson, Marie C

Henderson, Marie C is an individual health care provider with primary practice located at 55 Fruit Street Yaw 4, Boston MA 02114-3117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Henderson, Marie C can be contacted via phone (617) 724-2229.

Contact Information

Primary practice address
55 Fruit Street Yaw 4 Boston MA 02114-3117
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 171364 Massachusetts

Profile Details

NPI number 1013984608
LBN Legal business name Henderson, Marie C
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Dec 7th, 2016 - about 8 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 1013984608 NPPES
Massachusetts Other CN0243 BS
Massachusetts MEDICAID 0377741 BS

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