Henderson, Martha H
Henderson, Martha H is an sole proprietor health care provider with primary practice located at 1005 Olympia Ave Ne , Olympia WA 98506-4033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Henderson, Martha H can be contacted via phone (360) 791-5933.Contact Information
Primary practice address
1005 Olympia Ave Ne
Olympia WA 98506-4033
Phone: (360) 791-5933
Fax: (360) 534-9169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30005628 | Washington |
Profile Details
| NPI number | 1407907157 |
|---|---|
| LBN Legal business name | Henderson, Martha H |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jan 21st, 2008 - about 17 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 | 1407907157 | NPPES |
| West Virginia | Other | 1471HE | REGENCE RIDER |
| West Virginia | MEDICAID | 9629676 | REGENCE RIDER |
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