Henderson, Richard Lyle
Henderson, Richard Lyle is an individual health care provider with primary practice located at 380 Chase Ave Orthopedics, Walla Walla WA 99362-2924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Henderson, Richard Lyle can be contacted via phone (509) 522-5820.Contact Information
Primary practice address
380 Chase Ave Orthopedics
Walla Walla WA 99362-2924
Phone: (509) 522-5820
Fax: (509) 522-5570
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD00046369 | Washington |
Profile Details
NPI number | 1437129947 |
---|---|
LBN Legal business name | Henderson, Richard Lyle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2006 |
Last updated | May 25th, 2021 - about 3 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 | 1437129947 | NPPES |
Oregon | MEDICAID | 240152 | |
Oregon | MEDICAID | 1437129947 |
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