Henderson, Michael David
Henderson, Michael David is an sole proprietor health care provider with primary practice located at 2360 1St St , Napa CA 94559-2239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Henderson, Michael David can be contacted via phone (707) 377-1007.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 4301029337 | Michigan |
Profile Details
| NPI number | 1144219585 |
|---|---|
| LBN Legal business name | Henderson, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Jun 23rd, 2020 - about 4 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 | 1144219585 | NPPES |
| Michigan | MEDICAID | 4705694-10 |
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