Henderson, Michael John
Henderson, Michael John is an individual health care provider with primary practice located at 13670 Walsingham Rd , Largo FL 33774-3532. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Henderson, Michael John can be contacted via phone (727) 315-6974.Contact Information
Primary practice address
13670 Walsingham Rd
Largo FL 33774-3532
Phone: (727) 315-6974
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9113306 | Florida |
Profile Details
| NPI number | 1558523951 |
|---|---|
| LBN Legal business name | Henderson, Michael John |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2008 |
| Last updated | May 19th, 2023 - about 2 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 | 1558523951 | NPPES |
| Florida | MEDICAID | 114317600 |
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