Henderson, Pamela Renee
Henderson, Pamela Renee is an individual health care provider with primary practice located at 299 Carew St Ste 400, Springfield MA 01104-2361. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Henderson, Pamela Renee can be contacted via phone (413) 733-1818.Contact Information
Primary practice address
299 Carew St Ste 400
Springfield MA 01104-2361
Phone: (413) 733-1818
Fax: (413) 732-2341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 215993 | Massachusetts |
Profile Details
| NPI number | 1134122666 |
|---|---|
| LBN Legal business name | Henderson, Pamela Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2005 |
| Last updated | Nov 30th, 2012 - about 13 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 | 1134122666 | NPPES |
| Massachusetts | MEDICAID | 0178501 |
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