Henderson, Michael A
Henderson, Michael A is an individual health care provider with primary practice located at 801 Oak Ridge Tpke , Oak Ridge TN 37830-6916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Henderson, Michael A can be contacted via phone (865) 483-3172.Contact Information
Primary practice address
801 Oak Ridge Tpke
Oak Ridge TN 37830-6916
Phone: (865) 483-3172
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 39895 | Tennessee |
Profile Details
| NPI number | 1639125495 |
|---|---|
| LBN Legal business name | Henderson, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | May 7th, 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 | 1639125495 | NPPES |
| Tennessee | Other | P00356195 | RR MEDICARE PIN |
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